10D1105042 CLIA NUMBER - FLORIDA SPINE SPECIALIST

Laboratory Demographics

CLIA Number: 10D1105042

Facility Name: FLORIDA SPINE SPECIALIST

Facility Address:
6000 N FEDERAL HWY
FORT LAUDERDALE, FL
ZIP 33308
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Facility Phone Number: 954 771-2551

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1700110483

Taxonomy: 207XS0117X - Orthopaedic Surgery
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

CLIA Record

Field Name	Field Value
CLIA Number	10D1105042
LAB Type	Physician Office
Facility Name	FLORIDA SPINE SPECIALIST
Street	6000 N FEDERAL HWY
City	FORT LAUDERDALE
State	FL
ZIP	33308
Phone	954 771-2551
CertificateType	1
CertificateEffectiveDate	1/12/2023
CertificateExpirationDate	1/11/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024