# TAMPA BAY SPINE & SPORTS MEDICINE LLC

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

## Provider details

- **NPI number:** 1659922169
- **Authorized official:** DR. ERIC JASON NYE D.C. (PRESIDENT)
- **Authorized official phone:** (727) 412-8503

## Contact information

- **Practice address:** 32815 US HIGHWAY 19 N STE 200, PALM HARBOR, FL 34684-3145
- **Practice address phone:** (727) 412-8541
- **Practice address fax:** (727) 412-8541
- **Mailing address:** 32815 US HIGHWAY 19 N STE 200, PALM HARBOR, FL 34684-3145
- **Mailing address phone:** (727) 412-8541
- **Mailing address fax:** (727) 412-8541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/25/2019
- **Last updated:** 09/25/2019