| Interventional Spine Center Llc | |
|
150 Sw 12th Ave Suite 101 Pompano Beach FL 33069-3298 | |
| (561) 543-8888 | |
| Not Available |
| Full Name | Interventional Spine Center Llc |
|---|---|
| Speciality | General Practice |
| Location | 150 Sw 12th Ave, Pompano Beach, Florida |
| Authorized Official Name and Position | Rahat Faderani (DOCTOR) |
| Authorized Official Contact | 5615438888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interventional Spine Center Llc 150 Sw 12th Ave Suite 101 Pompano Beach FL 33069-3298 Ph: (561) 543-8888 | Interventional Spine Center Llc 150 Sw 12th Ave Suite 101 Pompano Beach FL 33069-3298 Ph: (561) 543-8888 |
| NPI Number | 1366780496 |
|---|---|
| Provider Enumeration Date | 01/24/2013 |
| Last Update Date | 01/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366780496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | OS10474 (Florida) | Primary |
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