Organization
JOSEPH SPINE, PA
Active
Organization
JOSEPH SPINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL A JOSEPH JR. M.D. (OWNER/PRESIDENT)
(727) 202-5093
Entity
Organization
Contact information
Practice address
2727 W MLK BLVD, STE 590, TAMPA, FL 33607-6383
(813) 534-6269
(813) 870-0008
Mailing address
2727 W MLK BLVD, SUITE 590, TAMPA, FL 33607-6383
(813) 534-6269
(813) 870-0008
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
ME101718
FL
Other
Enumeration date
05/31/2016
Last updated
01/13/2017
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