Organization
LASER SPINE INSTITUTE, LLC
Active
Parent organization
LSI HOLDCO, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LSI HOLDCO, LLC
Authorized official
MICHAEL W PERRY MD (MEDICAL DIRECTOR)
(813) 289-9613
Entity
Organization
Contact information
Practice address
5332 AVION PARK DRIVE, TAMPA, FL 33607
(813) 682-2944
(484) 253-1790
Mailing address
5332 AVION PARK DRIVE, TAMPA, FL 33607
(813) 682-2944
(484) 253-1790
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/16/2006
Last updated
01/25/2017
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