Organization
SPINE INSTITUTE OF FLORIDA, PLLC
Active
Organization
SPINE INSTITUTE OF FLORIDA, PLLC
Active
Other names
TAMPA BACK INSTITUTE, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK NICHOLAS PERENICH (DO)
(813) 803-0029
Entity
Organization
Contact information
Practice address
6536 GUNN HWY, TAMPA, FL 33625-3853
(813) 803-0029
Mailing address
7702 STILL PARK CIR, ODESSA, FL 33556-2263
(727) 637-8520
(813) 949-8919
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
OS14036
FL
Other
Enumeration date
08/05/2016
Last updated
05/02/2024
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