Organization
LORDEX SPINE INSTITUTE
Active
Other names
Lordex Spine Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MILDRED JEAN LEE PT (SUPERVISOR)
(850) 862-5588
Entity
Organization
Contact information
Practice address
928 MAR WALT DRIVE E, SUITE 201, FORT WALTON BEACH, FL 32547
(850) 862-5588
(850) 862-6015
Mailing address
928 MAR WALT DRIVE E, SUITE 201, FORT WALTON BEACH, FL 32547
(850) 862-5588
(850) 862-6015
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2006
Last updated
08/22/2020
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