| Spine Institute Of Central Florida | |
|
1301 Grasslands Blvd Lakeland FL 33803-5401 | |
| (863) 688-3030 | |
| Not Available |
| Full Name | Spine Institute Of Central Florida |
|---|---|
| Speciality | Clinic/center |
| Location | 1301 Grasslands Blvd, Lakeland, Florida |
| Authorized Official Name and Position | Chukwuka C Okafor (PHYSICIAN) |
| Authorized Official Contact | 8636883030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spine Institute Of Central Florida 1301 Grasslands Boulvard Lakeland FL 33803-5401 Ph: (863) 688-3030 | Spine Institute Of Central Florida 1301 Grasslands Blvd Lakeland FL 33803-5401 Ph: (863) 688-3030 |
| NPI Number | 1609167592 |
|---|---|
| Provider Enumeration Date | 04/26/2011 |
| Last Update Date | 04/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609167592 | NPI | - | NPPES |
| 001188600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME104463 (Florida) | Primary |
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