Organization
PREMIER SPINE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J JENSEN DC (OWNER)
(772) 345-3933
Entity
Organization
Contact information
Practice address
10801 SW TRADITION SQ, PORT ST LUCIE, FL 34987-1934
(772) 345-3933
(772) 345-3937
Mailing address
10801 SW TRADITION SQ, PORT ST LUCIE, FL 34987-1934
(772) 345-3933
(772) 345-3937
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME105483
FL
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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