Provider Demographics
NPI:1366263725
Name:RECOUP ORTHOPAEDIC AND SPINE CARE
Entity type:Organization
Organization Name:RECOUP ORTHOPAEDIC AND SPINE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCEO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-999-6855
Mailing Address - Street 1:2101 SHANNON OXMOOR RD # 469
Mailing Address - Street 2:
Mailing Address - City:SHANNON
Mailing Address - State:AL
Mailing Address - Zip Code:35142-2000
Mailing Address - Country:US
Mailing Address - Phone:205-999-6855
Mailing Address - Fax:
Practice Address - Street 1:1317 EDGEWATER DR # 5604
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-6350
Practice Address - Country:US
Practice Address - Phone:336-327-4816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-18
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty