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Organization

MICROSPINE ORTHOPEDIC PHYSICIANS LLC

Active
Parent organization
MICROPINE INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MICROPINE INC
Authorized official
ANGEL D BARBER (CEO)
(850) 892-6001
Entity
Organization

Contact information

Practice address
101 MICROSPINE WAY, DEFUNIAK SPRINGS, FL 32435-6323
(850) 892-6001
Mailing address
101 MICROSPINE WAY, DEFUNIAK SPRINGS, FL 32435-6323
(850) 892-6001

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary

Other

Enumeration date
12/09/2008
Last updated
12/09/2008
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