Organization
CENTRAL FLORIDA SPINE & INJURY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN GONZALEZ (CLINIC ADMINISTRATOR)
(352) 732-5590
Entity
Organization
Contact information
Practice address
809 CR 466, C-301, THE VILLAGES, FL 32159-3215
(352) 732-5590
Mailing address
1541 SE 17TH ST, OCALA, FL 34471-4607
(352) 732-5590
(352) 732-0292
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
FL
363L00000X
Nurse Practitioner
Primary
ARNP2590662
FL
Other
Enumeration date
04/10/2017
Last updated
06/29/2021
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