Organization
CENTER FOR SPINE MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MICHAEL GRUDEM M.D. (PRESIDENT)
(352) 629-7011
Entity
Organization
Contact information
Practice address
3200 SW 34TH AVE, SUITE 502, OCALA, FL 34474-7456
(352) 629-7011
(352) 629-7924
Mailing address
3200 SW 34TH AVE, SUITE 502, OCALA, FL 34474-7456
(352) 629-7011
(352) 629-7924
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
ME 61060
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94747
BCBS GROUP
FL
Enumeration date
04/26/2007
Last updated
06/27/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us