Center For Spine Medicine Pa

LBN: Center For Spine Medicine Pa
Center For Spine Medicine Pa is an health care organization with primary practice located at 3200 Sw 34Th Ave Suite 502, Ocala FL 34474-7456. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Center For Spine Medicine Pa can be contacted via phone (352) 629-7011, or through Grudem, Charles Michael via phone (352) 629-7011.

Contact Information

Primary practice address
3200 Sw 34Th Ave Suite 502 Ocala FL 34474-7456
Phone: (352) 629-7011
Fax: (352) 629-7924
Website:
Map and Directions
Authorized official contact:
Name: Grudem, Charles Michael Doctor of Medicine (MD)
Phone: (352) 629-7011

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X ME 61060 Florida

Profile Details

NPI number 1821218488
LBN Legal business name Center For Spine Medicine Pa
DBA Doing business as
Authorized official Grudem, Charles Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2007
Last updated Jun 27th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821218488 NPPES
Florida Other 94747 BCBS GROUP

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