Organization
PHYSICIANS BACK & NECK CENTER ORLANDO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YINA D FRASURE L.M.T (PRACTICE ADMINISTRATOR)
(407) 412-9226
Entity
Organization
Contact information
Practice address
5979 VINELAND RD, SUITE 210, ORLANDO, FL 32819-7800
(407) 412-9226
(407) 650-2888
Mailing address
5979 VINELAND RD, SUITE 210, ORLANDO, FL 32819-7800
(407) 412-9226
(407) 650-2888
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME69749
FL
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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