Organization
SPINE GROUP ORLANDO LLC
Active
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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