Provider Demographics
NPI:1467261875
Name:SPINE AND NERVE CENTER RIVERVIEW, LLC
Entity type:Organization
Organization Name:SPINE AND NERVE CENTER RIVERVIEW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:JOSIAH
Authorized Official - Last Name:FURA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:831-741-1071
Mailing Address - Street 1:13023 SUMMERFIELD SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-7402
Mailing Address - Country:US
Mailing Address - Phone:813-741-1071
Mailing Address - Fax:833-664-4104
Practice Address - Street 1:13023 SUMMERFIELD SQUARE DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-7402
Practice Address - Country:US
Practice Address - Phone:813-741-1071
Practice Address - Fax:866-709-3257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-01
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty