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Organization

ORTHOPAEDIC AND SPINE MEDICAL GROUP, INC

Active
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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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