Organization
SPINE GROUP ORLANDO LLC
Active
Other names
Urgent Orthopedic and Spine Care
Organization subpart
No
Provider details
NPI number
Authorized official
MAAHIR HAQUE MD (DIRECTOR)
(321) 939-0222
Entity
Organization
Contact information
Practice address
2940 MALLORY CIR STE 204B, CELEBRATION, FL 34747-1818
(321) 939-0222
Mailing address
2954 MALLORY CIR STE 101, CELEBRATION, FL 34747-1822
(321) 939-0222
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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