Spinemed East Hillsborough, INC

NPI #1629260294 in Brandon, Florida

Provider Information

NPI Number: 1629260294
Entity Type: Organization
Organization Name: Spinemed East Hillsborough, INC
Primary Specialty: Specialist
Enumeration Date: Aug 16, 2007
Last Updated: Aug 16, 2007

Practice Location

Address: 615 VONDERBURG DDRIVE
City: Brandon
State: Florida
ZIP Code: 33511-5972
Phone: (813) 654-1856

Authorized Official

Name: MR. KEVIN V DONOFRIO
Title: PRESIDENT
Phone: (813) 654-1856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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