Provider Demographics
NPI:1780224410
Name:NH SPINE ORTHO INC.
Entity Type:Organization
Organization Name:NH SPINE ORTHO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF DEVELOPMENT OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAVCHENKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-929-3900
Mailing Address - Street 1:12538 W ATLANTIC BLVD
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-4085
Mailing Address - Country:US
Mailing Address - Phone:954-889-1901
Mailing Address - Fax:
Practice Address - Street 1:12538 W ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-4085
Practice Address - Country:US
Practice Address - Phone:954-889-1901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-10
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies