Organization
MID-COAST SPINE & SPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADY ROBERT FERGOLA (OWNER)
(207) 633-5500
Entity
Organization
Contact information
Practice address
957 WISCASSET RD, STE 4, BOOTHBAY, ME 04537-4618
(207) 315-6388
(207) 315-6359
Mailing address
PO BOX 355, BOOTHBAY, ME 04537-0355
(207) 315-6388
(207) 315-6359
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
06/08/2026
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