Organization
NEUROSPINAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA REEVES (BOOKKEEPER/PERSONNEL SUPERVISOR)
(941) 794-3118
Entity
Organization
Contact information
Practice address
200 3RD AVE W, SUITE 200, BRADENTON, FL 34205-8626
(941) 794-3118
(941) 782-2017
Mailing address
200 3RD AVE W, SUITE 200, BRADENTON, FL 34205-8626
(941) 794-3118
(941) 782-2017
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264534300
—
FL
05
—
264535100
—
FL
05
—
264536000
—
FL
05
—
264537800
—
FL
05
—
264537801
—
FL
Enumeration date
11/01/2006
Last updated
04/23/2010
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