Organization
ORTHOPAEDIC AND SPINE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH MASSI D.C. (PRESIDENT)
(407) 530-4734
Entity
Organization
Contact information
Practice address
435 W OAK ST, KISSIMMEE, FL 34741-6627
(407) 530-4734
Mailing address
435 W OAK ST, KISSIMMEE, FL 34741-6627
(407) 530-4734
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH8833
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801022215
NPI
—
01
—
CH8833
STATE LICENSE
FL
Enumeration date
02/10/2014
Last updated
02/10/2014
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