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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