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Organization

SPINE SPECIALISTS OF FLORIDA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA SELLNOW (ADMIN)
(321) 236-8004
Entity
Organization

Contact information

Practice address
8810 COMMODITY CIR STE 25, ORLANDO, FL 32819-9066
(407) 487-8610
(407) 487-8605
Mailing address
30200 TELEGRAPH RD STE 456, BINGHAM FARMS, MI 48025-4506
(407) 487-8610
(407) 487-8605

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
207X00000X
Orthopaedic Surgery Physician
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
208100000X
Physical Medicine & Rehabilitation Physician
208VP0014X
Interventional Pain Medicine Physician

Other

Enumeration date
03/16/2023
Last updated
10/15/2025
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