Organization

Lake Mary Spine & Rehabilitation Center

Clinic/Center in Davenport, FL(View on Map)

Legal Business Name

Lake Mary Spine & Rehabilitation Center

NPI Number

1003473349

NPI Type

Organization

Enumeration Date

05/22/2019

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

45677 HIGHWAY 27
45677 HIGHWAY 27

City

Davenport
Davenport

State

FL
FL

Postal Code

33897-4546
33897-4546

Country

US
US

Telephone Number

(407) 942-3258
(407) 942-3258

Authorized Official

Name

Yanina Genao

Title or Position

OWNER/DOCTOR

Telephone Number

(407) 942-3258

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/22/2019

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