Organization
ORANGE PARK SPINE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANTINE ANDREW TOUMBIS MD, PHD (PRESIDENT/SURGEON)
(352) 257-3391
Entity
Organization
Contact information
Practice address
1409 KINGSLEY AVE, SUITE 1D, ORANGE PARK, FL 32073-4537
(904) 504-7767
(904) 375-1761
Mailing address
1409 KINGSLEY AVE, SUITE 1D, ORANGE PARK, FL 32073-4537
(904) 504-7767
(904) 375-1761
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
ME80012
FL
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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