St. George Spinal Clinic Pa

LBN: St. George Spinal Clinic Pa
St. George Spinal Clinic Pa is an health care organization with primary practice located at 4469 N State Road 7 , Lauderdale Lakes FL 33319-5876. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. St. George Spinal Clinic Pa can be contacted via phone (954) 486-1966, or through Tadros, Wagdy B. via phone (954) 486-1966.

Contact Information

Primary practice address
4469 N State Road 7 Lauderdale Lakes FL 33319-5876
Phone: (954) 486-1966
Fax: (954) 486-9115
Website:
Map and Directions
Authorized official contact:
Name: Tadros, Wagdy B. Doctor of Medicine (MD)
Phone: (954) 486-1966

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME65248 Florida

Profile Details

NPI number 1609898683
LBN Legal business name St. George Spinal Clinic Pa
DBA Doing business as
Authorized official Tadros, Wagdy B. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Aug 26th, 2011 - about 13 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 1609898683 NPPES
Florida Other 2621902 AETNA
Florida Other 25940 AETNA
Florida Other 234955 AETNA

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