Organization
CENTER FOR SPINAL STENOSIS & NEUROLOGIC CARE LLC
Active
Organization
CENTER FOR SPINAL STENOSIS & NEUROLOGIC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL MAJKA (OFFICE ADMINISTRATOR)
(863) 606-5937
Entity
Organization
Contact information
Practice address
4310 S FLORIDA AVE, LAKELAND, FL 33813-1631
(863) 606-5937
(863) 606-5936
Mailing address
4310 S FLORIDA AVE, LAKELAND, FL 33813-1631
(863) 606-5937
(863) 606-5936
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME88409
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FY330A
PTAN
FL
Enumeration date
11/08/2011
Last updated
04/01/2021
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