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Organization
LASER SPINE SURGERY CENTER OF OKLAHOMA, LLC
Active
Organization
LASER SPINE SURGERY CENTER OF OKLAHOMA, LLC
Active
Parent organization
LSI HOLDCO, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LSI HOLDCO, LLC
Authorized official
MICHAEL W PERRY MD (MEDICAL DIRECTOR)
(813) 289-9613
Entity
Organization
Contact information
Practice address
4727 GAILLARDIA PARKWAY, SUITE 150, OKLAHOMA CITY, OK 73142
(405) 708-4085
(484) 253-1790
Mailing address
5332 AVION PARK DRIVE, TAMPA, FL 33607
(813) 682-2944
(484) 253-1790
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/05/2011
Last updated
01/25/2017
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