Organization
INTERVENTIONAL SPINE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAHAT FADERANI DO (DOCTOR)
(561) 543-8888
Entity
Organization
Contact information
Practice address
150 SW 12TH AVE, SUITE 101, POMPANO BEACH, FL 33069-3298
(561) 543-8888
Mailing address
150 SW 12TH AVE, SUITE 101, POMPANO BEACH, FL 33069-3298
(561) 543-8888
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS10474
FL
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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