# LASERSCOPIC MEDICAL CENTER

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

## Provider details

- **NPI number:** 1871593657
- **Authorized official:** JOE SAMUEL BAILEY (CEO)
- **Authorized official phone:** (727) 546-6566

## Contact information

- **Practice address:** 5000 PARK ST N, ST PETERSBURG, FL 33709-2254
- **Practice address phone:** (727) 546-6566
- **Practice address fax:** (727) 546-6560
- **Mailing address:** 5000 PARK ST N, ST PETERSBURG, FL 33709-2254
- **Mailing address phone:** (727) 546-6566
- **Mailing address fax:** (727) 546-6560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 684 | FL | Yes |

## Other

- **Enumeration date:** 07/22/2005
- **Last updated:** 08/22/2020