Organization
NEUSPINE THERAPY LLC
Active
Parent organization
NEUSPINE ANCILLARY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEUSPINE ANCILLARY LLC
Authorized official
ARMEN DEUKMEDJIAN MD (PRESIDENT)
(813) 333-1186
Entity
Organization
Contact information
Practice address
12880 US 301, DADE CITY, FL 33525-5801
(813) 388-2935
Mailing address
2653 BRUCE B DOWNS BLVD STE 108-168, WESLEY CHAPEL, FL 33544-9206
(813) 997-2099
(813) 280-6193
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
01/29/2018
Last updated
10/02/2019
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