USA Laser Spine
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Tampa, FL. Organization (NPI-2).
NPI number1932777075
StatusActive
Last updated in NPPESJun 15, 2021
Details
- NPI
- 1932777075
- Entity type
- Organization (NPI-2)
- Legal business name
- USA Laser Spine
- Organization subpart
- No
- Enumeration date
- Jun 15, 2021
- Certification date
- Jun 15, 2021
- Last updated
- Jun 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery, Orthopaedic Surgery of the Spine | – | – | Yes |
Other names
- Dr. St. Louis Spine (Doing Business As)
Practice location
4728 N Habana Ave Ste 303Tampa, FL 33614-7183
Phone 833-752-0404
Mailing address
4532 W Kennedy Blvd # 108Tampa, FL 33609-2042
Authorized official
Jennifer Friend
Administrator
7274949004
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