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Organization

NATIONAL MEDICAL PRACTICES OF FLORIDA PLLC

Active
Other names
PPOA Minimally Invasive Spine Group
Organization subpart
No

Provider details

NPI number
Authorized official
TRACIE LAWSON (PRESIDENT)
(813) 549-2134
Entity
Organization

Contact information

Practice address
4730 N HABANA AVE, SUITE 300, TAMPA, FL 33614-7163
(813) 549-2134
(813) 870-1383
Mailing address
4730 N HABANA AVE, SUITE 204, TAMPA, FL 33614-7163
(813) 549-2134
(813) 870-1383

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Enumeration date
11/18/2014
Last updated
12/25/2017
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