Organization
LASER SPINE SURGERY CENTER OF OKLAHOMA, 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
4727 GAILLARDIA PARKWAY, SUITE 150, OKLAHOMA CITY, OK 73142
(405) 708-4085
(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
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2011
Last updated
01/25/2017
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