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Organization

APPLE NEURO AND SPINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROY C CARLISI MD (OWNER)
(386) 313-2599
Entity
Organization

Contact information

Practice address
1400 E MOODY BLVD, BUNNELL, FL 32110-5916
(386) 313-2599
(386) 313-2577
Mailing address
1400 E MOODY BLVD, BUNNELL, FL 32110-5916
(386) 313-2599
(386) 313-2577

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary

Other

Enumeration date
09/22/2016
Last updated
09/22/2016
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