Organization
SPINAL INTEGRATED MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M. VAN NOSTRAND B.S., D.C, (PRESIDENT)
(941) 205-2180
Entity
Organization
Contact information
Practice address
324 CROSS ST, PUNTA GORDA, FL 33950-4828
(941) 205-2180
(941) 205-2181
Mailing address
324 CROSS ST, PUNTA GORDA, FL 33950-4828
(941) 205-2180
(941) 205-2181
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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