ALLEGIANCE ORTHOPEDIC NEUROSURGERY AND SPINE INSTITUTE LLC NPI 1346714797

NPI Information

  • NPI: 1346714797
  • Provider Name: ALLEGIANCE ORTHOPEDIC NEUROSURGERY AND SPINE INSTITUTE LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: BLACKSTONE MEDICAL GROUP LLC
  • Address: 190 CONGRESS PARK DR STE 160
    DELRAY BEACH, FL
    ZIP 33445
  • Phone: (561) 306-5383

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NPI Details

ALLEGIANCE ORTHOPEDIC NEUROSURGERY AND SPINE INSTITUTE LLC is a clinic center in Delray Beach, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ALLEGIANCE ORTHOPEDIC NEUROSURGERY AND SPINE INSTITUTE LLC NPI is 1346714797. The provider is registered as an organization entity type.
The provider Is Doing Business As Blackstone Medical Group Llc.

The provider's business location address is:

190 CONGRESS PARK DR STE 160
DELRAY BEACH, FL
ZIP 33445-707
Phone: (561) 306-5383

The provider's authorized official is Diane Ricca .
The authorized official title is Managing Partner/owner and has the following contact phone number (561) 306-5383.

The enumeration date for this NPI number is 1/18/2019 and was last updated on 7/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

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This page was last updated on: 3/30/2025

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