Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

St George Spinal Clinic PA

Organization Internal Medicine Physician · NPI 1609898683

St George Spinal Clinic PA is an Internal Medicine Physician in Lauderdale Lakes, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4469 N State Road 7
Lauderdale Lakes, FL 33319-5876
Phone: (954) 486-1966
Fax: (954) 486-9115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME65248 (FL)

Record details

NPI number1609898683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wagdy Tadros — Physician · (954) 486-1966
NPI enumeratedJuly 25, 2006
Last updated in NPPESAugust 26, 2011
Mailing addressPo Box 10693, Riviera Beach, FL 33419-0693

Other providers in Lauderdale Lakes