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Organization

ATLANTIC SPORT & SPINE CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL SANDBORN MD (PRESIDENT)
(386) 445-9444
Entity
Organization

Contact information

Practice address
3 BOULDER ROCK DR, PALM COAST, FL 32137-8555
(386) 445-9444
Mailing address
3 BOULDER ROCK DR, PALM COAST, FL 32137-8555
(386) 445-9444

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME98460
FL

Other

Enumeration date
07/22/2013
Last updated
07/22/2013
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