Provider Demographics
NPI:1992140230
Name:YUMA SPINE & JOINT PLLC
Entity type:Organization
Organization Name:YUMA SPINE & JOINT PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:KIMBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:863-386-0497
Mailing Address - Street 1:805 US HIGHWAY 27 S
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-2173
Mailing Address - Country:US
Mailing Address - Phone:863-386-0497
Mailing Address - Fax:863-382-1378
Practice Address - Street 1:805 US HIGHWAY 27 S
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-2173
Practice Address - Country:US
Practice Address - Phone:863-386-0497
Practice Address - Fax:863-382-1378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-30
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS21858207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty