Psl Ortho Spine Corp

NPI #1154040640 in Port St Lucie, Florida

Provider Information

NPI Number: 1154040640
Entity Type: Organization
Organization Name: Psl Ortho Spine Corp
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Aug 26, 2022
Last Updated: May 11, 2023

Practice Location

Address: 266 NW PEACOCK BLVD STE 204
City: Port St Lucie
State: Florida
ZIP Code: 34986-2271
Phone: (772) 262-0852

Authorized Official

Name: LAURA C BEATTY
Title: PRACTICE MANAGER
Phone: (772) 262-0852

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Orthopaedic Surgery	207X00000X	Primary

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