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Organization
SPINE DIAGNOSTICS & INTERVENTIONAL CENTER INC
Active
Organization
SPINE DIAGNOSTICS & INTERVENTIONAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY T FLYNN M.D. (OWNER/MEDICAL DIRECTOR)
(813) 872-9200
Entity
Organization
Contact information
Practice address
2808 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6306
(813) 872-9200
(813) 875-5101
Mailing address
PO BOX 152199, TAMPA, FL 33684-2199
(813) 872-9200
(813) 875-5101
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME37627
FL
Other
Enumeration date
06/10/2006
Last updated
03/09/2009
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