NPI:
1124263660
Provider Name:
BRAIN AND SPINE NEUROSUGERY,LLC
Former Legal Business Name: BRAIN AND SPINE NEUROSURGERY, LLC
Classification:
Clinic/Center - 261QA1903X
Entity Type:
Organization
Specialization: Ambulatory Surgical
Address:
1050 SE MONTEREY RD
SUITE 102
STUART, FL
ZIP 34994
Phone:
(772) 220-9700
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BRAIN AND SPINE NEUROSUGERY,LLC is an ambulatory surgical clinic center in Stuart, FL. BRAIN AND SPINE NEUROSUGERY,LLC NPI is 1124263660. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Brain And Spine Neurosurgery, Llc.
The provider's business location address is:
1050 SE MONTEREY RD
SUITE 102
STUART, FL
ZIP 34994-512
Phone: (772) 220-9700
The provider's authorized official is Yonas Zegeye .
The authorized official title is President and has the following contact phone number (772) 220-9700.
The enumeration date for this NPI number is 12/12/2008 and was last updated on 12/12/2008.