Organization
MINIMALLY INVASIVE SPINE CENTER OF SOUTH FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE GRAVERAN (MANAGER)
(305) 677-9723
Entity
Organization
Contact information
Practice address
475 BILTMORE WAY STE 101, CORAL GABLES, FL 33134-5724
(305) 393-8810
(305) 393-8811
Mailing address
475 BILTMORE WAY STE 101, CORAL GABLES, FL 33134-5724
(305) 393-8810
(305) 393-8811
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
08/11/2017
Last updated
01/14/2025
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