Spine Medical Center,Llc in Gulfport - Family Medicine
Spine Medical Center,Llc - NPI 1720207749
Spine Medical Center,Llc is a Family Medicine in Gulfport, Mississippi. Spine Medical Center,Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Spine Medical Center,Llc is 1720207749. The last update date is 2020-08-22.
Spine Medical Center,Llc's current location address is Po Box 2156, Gulfport, Mississippi. You can contact this provider via phone number 2288654731 and fax number 2288635616. The mailing address for Spine Medical Center,Llc is Po Box 2156, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Spine Medical Center,Llc |
|---|---|
| Address | Po Box 2156, Gulfport, Mississippi |
| Phone Number | 2288654731 |
| Fax Number | 2288635616 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DR. |
|---|---|
| Authorized Official Name | Burwell Berman Joel |
| Credentials | D.O. |
| Telephone Number | 2288654731 |
NPI Number Detail
| NPI Number | 1720207749 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 2156 |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395052156 |
| Phone Number | 2288654731 |
| Fax Number | 2288635616 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 12692 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identifier code assigned to Spine Medical Center,Llc by the Centers for Medicare & Medicaid Services?
The Spine Medical Center,Llc has been issued the NPI (National Provider Identifier) 1720207749 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Spine Medical Center,Llc's physical address?
The Spine Medical Center,Llc is physically located at Po Box 2156, in the city of Gulfport, MS, with the postal code 395052156.
What is the Spine Medical Center,Llc's area of specialization and corresponding taxonomy classification?
The Spine Medical Center,Llc's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1720207749 to Spine Medical Center,Llc?
The Centers for Medicare & Medicaid Services assigned the 1720207749 to Spine Medical Center,Llc on 2007-04-25.
When was the information related to Spine Medical Center,Llc most recently updated or refreshed?
The details pertaining to the Spine Medical Center,Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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