Space Coast Spine Llc.

LBN: Space Coast Spine Llc.
Space Coast Spine Llc. is an health care organization with primary practice located at 1402 Dunlawton Ave Ste 2B , Port Orange FL 32127-2917. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Space Coast Spine Llc. can be contacted via phone (386) 227-6688, or through Sambursky, Michael via phone (386) 281-7900.

Contact Information

Primary practice address
1402 Dunlawton Ave Ste 2B Port Orange FL 32127-2917
Phone: (386) 227-6688
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sambursky, Michael Doctor of Chiropractic (DC)
Phone: (386) 281-7900

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1558911818
LBN Legal business name Space Coast Spine Llc.
DBA Doing business as
Authorized official Sambursky, Michael Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2019
Last updated Dec 4th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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