Brevard Spine Center LLC

NPI #1184907842 in Indialantic, Florida

Provider Information

NPI Number: 1184907842
Entity Type: Organization
Organization Name: Brevard Spine Center LLC
Primary Specialty: Chiropractor
Enumeration Date: Sep 20, 2011
Last Updated: Oct 4, 2011

Practice Location

Address: 878 N MIRAMAR AVE
City: Indialantic
State: Florida
ZIP Code: 32903-3054
Phone: (321) 676-0020

Authorized Official

Name: DR. JOSE ANDRES DEVESA, D.C.
Title: MANAGING MEMBER
Phone: (352) 538-9768

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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