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Nova Ortho And Spine, PLLC

Clinic/Center in Fort Pierce, FL. Organization (NPI-2).

NPI number1144787243
StatusActive
Last updated in NPPESFeb 25, 2019

Details

NPI
1144787243
Entity type
Organization (NPI-2)
Legal business name
Nova Ortho And Spine, PLLC
Organization subpart
No
Enumeration date
Feb 25, 2019
Last updated
Feb 25, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

1903 S 25th St Ste 103
Fort Pierce, FL 34947-4740

Phone 772-529-4573 · Fax 772-410-4062

Mailing address

1903 S 25th St Ste 103
Fort Pierce, FL 34947-4740

Phone 772-529-4573 · Fax 772-410-4062

Authorized official

Marc D Brodsky
Physician
7722607023

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