Organization
LORDEX SPINE INSTITUTE
Active
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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