Organization
SOUTH PALM ORTHOSPINE INSTITUTE
Active
Parent organization
SOUTH PALM ORTHOSPINE INSTITUTE
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH PALM ORTHOSPINE INSTITUTE
Authorized official
STEWART EIDELSON M.D. (OWNER)
(561) 742-5959
Entity
Organization
Contact information
Practice address
2900 N MILITARY TRL, #241, BOCA RATON, FL 33431-6365
(561) 742-5959
(561) 732-0553
Mailing address
6110 W ATLANTIC AVE, UNIT A, DELRAY BEACH, FL 33484-8405
(561) 742-5959
(561) 732-0553
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
ME55593
FL
Other
Enumeration date
09/11/2007
Last updated
09/24/2007
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