Florida Medical Orthopedic And Spine Institute
Clinic/Center in Lake Mary, FL. Organization (NPI-2).
NPI number1669366779
StatusActive
Last updated in NPPESJun 5, 2025
Details
- NPI
- 1669366779
- Entity type
- Organization (NPI-2)
- Legal business name
- Florida Medical Orthopedic And Spine Institute
- Organization subpart
- No
- Enumeration date
- Jun 4, 2025
- Certification date
- Jun 5, 2025
- Last updated
- Jun 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
1210 S International Pkwy Ste 174Lake Mary, FL 32746-1691
Phone 407-738-1575
Mailing address
1210 S International Pkwy Ste 174Lake Mary, FL 32746-1691
Phone 407-738-1575
Authorized official
Rebekah Jackson
Vice President
4077381575
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