Organization
INTEGRATED SPORTS AND SPINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMON STAFFORD DC (OWNER)
(727) 797-0500
Entity
Organization
Contact information
Practice address
2905 RIGSBY LN, SAFETY HARBOR, FL 34695-4828
(727) 797-0500
(727) 797-0050
Mailing address
2905 RIGSBY LN, SAFETY HARBOR, FL 34695-4828
(727) 797-0500
(727) 797-0050
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH8146
FL
174400000X
Specialist
Primary
ME97457
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH8146
STATE LICENSE
FL
Enumeration date
03/14/2008
Last updated
03/14/2008
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