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Spine Institute Of Florida, PLLC

Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Tampa, FL. Organization (NPI-2).

NPI number1154875284
StatusActive
Last updated in NPPESMay 2, 2024

Details

NPI
1154875284
Entity type
Organization (NPI-2)
Legal business name
Spine Institute Of Florida, PLLC
Organization subpart
No
Enumeration date
Aug 5, 2016
Certification date
May 2, 2024
Last updated
May 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the SpineOS14036FLYes

Other names

  • Tampa Back Institute, PLLC (Former Legal Business Name)

Practice location

6536 Gunn Hwy
Tampa, FL 33625-3853

Phone 813-803-0029

Mailing address

7702 Still Park Cir
Odessa, FL 33556-2263

Phone 727-637-8520 · Fax 813-949-8919

Other practice locations

4700 N Habana Ave Ste 505
Tampa, FL 33614-7120

Phone 813-803-0029 · Fax 813-949-8919

Authorized official

Mark Nicholas Perenich
DO
8138030029

Is something wrong?

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