Organization
NEUSPINE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMEN DEUKMEDJIAN MD (PRESIDENT)
(813) 333-1186
Entity
Organization
Contact information
Practice address
15141 OGDEN LOOP, ODESSA, FL 33556-4633
(813) 333-1186
Mailing address
2445 COUNTRY PLACE BLVD STE 102, TRINITY, FL 34655-1102
(813) 333-1186
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
10/15/2019
Last updated
08/20/2021
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