Organization
SPINE AND ORTHOPAEDIC SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARHAN NAVEED SIDDIQI MD (PARTNER)
(727) 372-9922
Entity
Organization
Contact information
Practice address
2040 SHORT AVE, ODESSA, FL 33556-3427
(727) 372-9922
(727) 372-8477
Mailing address
2040 SHORT AVE, ODESSA, FL 33556-3427
(727) 372-9922
(727) 372-8477
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME96135
FL
207X00000X
Orthopaedic Surgery Physician
Primary
ME96330
FL
207XS0117X
Orthopaedic Surgery of the Spine Physician
ME96135
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME96330
PRESIDENT MEDICAL LICENSE
FL
Enumeration date
10/12/2006
Last updated
04/27/2010
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