Organization
DIAGNOSTIC & INTERVENTIONAL SPINE CONSULTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NABIL H. HODROJ DO (OWNER)
(786) 640-0604
Entity
Organization
Contact information
Practice address
8726 NW 26TH ST STE 16, DORAL, FL 33172-1628
(786) 640-0604
(786) 640-0605
Mailing address
8726 NW 26TH ST STE 16, DORAL, FL 33172-1628
(786) 640-0604
(786) 640-0605
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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