Provider Demographics
NPI:1003364175
Name:UNITED JOINT & SPINE CENTER LLC
Entity Type:Organization
Organization Name:UNITED JOINT & SPINE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMAIO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:941-922-4222
Mailing Address - Street 1:7242 BENEVA RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-2806
Mailing Address - Country:US
Mailing Address - Phone:941-922-4222
Mailing Address - Fax:941-922-9333
Practice Address - Street 1:7242 BENEVA RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-2806
Practice Address - Country:US
Practice Address - Phone:941-922-4222
Practice Address - Fax:941-922-9333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-16
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty