Organization
COMPREHENSIVE SPINE CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KADYSHA GUERIN (OFFICE MANAGER)
(954) 747-1221
Entity
Organization
Contact information
Practice address
7710 NW 71ST CT, SUITE 205, TAMARAC, FL 33321-2973
(954) 747-1221
(954) 747-1231
Mailing address
PO BOX 15851, PLANTATION, FL 33318-5851
(954) 747-1221
(954) 747-1231
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
ME98523
FL
Other
Enumeration date
01/10/2013
Last updated
01/14/2013
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