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Organization
TAMPA BAY SPINE AND INJURY
Active
Organization
TAMPA BAY SPINE AND INJURY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT OBRIEN ELLIOTT DC (OWNER)
(813) 381-3852
Entity
Organization
Contact information
Practice address
1532 OAKFIELD DR, SUITE A, BRANDON, FL 33511-0829
(813) 381-3852
(813) 381-3873
Mailing address
1532 OAKFIELD DR, SUITE A, BRANDON, FL 33511-0829
(813) 381-3852
(813) 381-3873
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
UO3574
FL
225100000X
Physical Therapist
Primary
PT3274
FL
225200000X
Physical Therapy Assistant
PTA23287
FL
2255A2300X
Athletic Trainer
AL3352
FL
Other
Enumeration date
06/29/2015
Last updated
07/21/2015
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