Space Coast Spine Llc.
NPI #1558911818 in Port Orange, Florida
Provider Information
- NPI Number
- 1558911818
- Entity Type
- Organization
- Organization Name
- Space Coast Spine Llc.
- Primary Specialty
- Chiropractor
- Enumeration Date
- Sep 18, 2019
- Last Updated
- Dec 4, 2019
Practice Location
- Address
- 1402 DUNLAWTON AVE STE 2B
- City
- Port Orange
- State
- Florida
- ZIP Code
- 32127-2917
- Phone
- (386) 227-6688
Authorized Official
- Name
- MICHAEL SAMBURSKY, D.C.
- Title
- OWNER
- Phone
- (386) 281-7900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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