# USA SPINE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417351040
- **Authorized official:** DR. COLLEEN S MAXCY MD, MPH (OWNER)
- **Authorized official phone:** (813) 855-8400

## Contact information

- **Practice address:** 300 STATE ST E STE 222, OLDSMAR, FL 34677-3711
- **Practice address phone:** (813) 855-8400
- **Practice address fax:** (813) 855-9200
- **Mailing address:** 300 STATE ST E, OLDSMAR, FL 34677-3702
- **Mailing address phone:** (813) 855-8400
- **Mailing address fax:** (813) 855-9200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 10/10/2014
- **Last updated:** 03/25/2024