10D2072827 CLIA NUMBER - FLORIDA BACK INSTITUTE INC

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Laboratory Demographics

CLIA Number: 10D2072827

Facility Name: FLORIDA BACK INSTITUTE INC

Facility Address:
1905 CLINT MOORE RD STE 309
BOCA RATON, FL
ZIP 33496
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Facility Phone Number: 561 988-8988

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295916468

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	10D2072827
LAB Type	Physician Office
Facility Name	FLORIDA BACK INSTITUTE INC
Street	1905 CLINT MOORE RD STE 309
City	BOCA RATON
State	FL
ZIP	33496
Phone	561 988-8988
CertificateType	4
CertificateEffectiveDate	2/6/2024
CertificateExpirationDate	2/5/2026
FacilityType	Waiver

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