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ORACLE SPINE AND ORTHOPEDICS, P.A. - Florida Company Profile

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Company Details

Entity Name: ORACLE SPINE AND ORTHOPEDICS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 Jan 2025 (7 months ago)
Document Number: P25000001732
Address: 6738 W SUNRISE BLVD, SUITE 101, PLANTATION, FL, 33313, US
Mail Address: 6738 W SUNRISE BLVD, SUITE 101, PLANTATION, FL, 33313, US
ZIP code: 33313
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WEISS MICHAEL C Director 6738 W SUNRISE BLVD, SUITE 101, PLANTATION, FL, 33313
WEISS GAIL Agent 772 NW 82ND TERRACE, PLANTATION, FL, 33324

National Provider Identifier

NPI Number:
1841005899
Certification Date:
2025-02-07

Authorized Person:

Name:
DR. MICHAEL C WEISS
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
No
Selected Taxonomy:
363AS0400X - Surgical Physician Assistant
Is Primary:
No
Selected Taxonomy:
207XS0117X - Orthopaedic Surgery of the Spine Physician
Is Primary:
Yes

Contacts:

Fax:
9543013901

Documents

Name Date
Domestic Profit 2025-01-09

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Date of last update: 01 Aug 2025

Sources: Florida Department of State