Interventional Spine Center LLC

NPI #1366780496 in Pompano Beach, Florida

Provider Information

NPI Number: 1366780496
Entity Type: Organization
Organization Name: Interventional Spine Center LLC
Primary Specialty: General Practice
Enumeration Date: Jan 24, 2013
Last Updated: Jan 24, 2013

Practice Location

Address: 150 SW 12TH AVE
Address 2: SUITE 101
City: Pompano Beach
State: Florida
ZIP Code: 33069-3298
Phone: (561) 543-8888

Authorized Official

Name: RAHAT FADERANI, DO
Title: DOCTOR
Phone: (561) 543-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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