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Organization

SOUTH FLORIDA SPINE CLINIC INC

Active
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Organization

SOUTH FLORIDA SPINE CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY B. CANTOR M.D. (OWNER)
(954) 567-1332
Entity
Organization

Contact information

Practice address
3000 BAYVIEW DRIVE, FT LAUDERDALE, FL 33306
(954) 567-1332
(954) 537-7705
Mailing address
3000 BAYVIEW DRIVE, FT LAUDERDALE, FL 33306
(954) 567-1332
(954) 537-7705

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician

Other

Enumeration date
03/22/2007
Last updated
04/28/2010
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