Organization
MIS NEUROSPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CURTIS LEE BEAUREGARD MD (OWNER)
(239) 236-8933
Entity
Organization
Contact information
Practice address
12468 BRANTLEY COMMONS CT, FORT MYERS, FL 33907-5663
(239) 236-8933
(407) 650-2731
Mailing address
1711 AMAZING WAY STE 209, OCOEE, FL 34761-3491
(239) 236-8933
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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