| Microspine Physicians Group Llc | |
|
101 Microspine Way Defuniak Springs FL 32435-6323 | |
| (850) 892-6001 | |
| (850) 892-4212 |
| Full Name | Microspine Physicians Group Llc |
|---|---|
| Speciality | Internal Medicine - Sports Medicine |
| Location | 101 Microspine Way, Defuniak Springs, Florida |
| Authorized Official Name and Position | Angel D Barber (ADMINISTRATOR) |
| Authorized Official Contact | 8508926001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Microspine Physicians Group Llc 101 Microspine Way Defuniak Springs FL 32435-6323 Ph: (850) 892-6001 | Microspine Physicians Group Llc 101 Microspine Way Defuniak Springs FL 32435-6323 Ph: (850) 892-6001 |
| NPI Number | 1356396774 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 10/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356396774 | NPI | - | NPPES |
| 34912 | Other | FL | BCBS PROVIDER (NONPAR) NU |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Primary |
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