# RENEW SPINAL CARE, 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:** 1588063374
- **Authorized official:** J SAM BAILEY (EXECUTIVE)
- **Authorized official phone:** (214) 864-9774

## Contact information

- **Practice address:** 2203 N. LOIS AVE., SUITE M-250, TAMPA, FL 33607
- **Practice address phone:** (214) 864-9774
- **Mailing address:** 2203 N. LOIS AVE., SUITE M-250, TAMPA, FL 33607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/18/2014
- **Last updated:** 08/18/2014