Organization
PINNACLE BRAIN AND SPINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN FELIX RONDEROS MD (MD/OWNER)
(251) 633-5155
Entity
Organization
Contact information
Practice address
6701 AIRPORT BLVD STE D146, MOBILE, AL 36608-6701
(251) 633-5155
(251) 633-5125
Mailing address
6701 AIRPORT BLVD STE D146, MOBILE, AL 36608-6701
(251) 633-5155
(251) 633-5125
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
00012906
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529923400
—
AL
01
—
DD3322
MEDICARE RAILROAD
AL
Enumeration date
08/31/2006
Last updated
09/09/2013
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