Organization
SOUTHWEST FLORIDA SPINE INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO L PEREIRA MD (PHYSICIAN)
(941) 979-7310
Entity
Organization
Contact information
Practice address
3420 TAMIAMI TRL, SUITE 1, PORT CHARLOTTE, FL 33952-8126
(941) 979-7310
Mailing address
PO BOX 494409, PORT CHARLOTTE, FL 33949-4409
(941) 979-7310
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME98377
FL
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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