Organization
MINIMALLY INVASIVE SPINE CENTER OF SOUTH FLORIDA, LLC
Active
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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