Organization
SPINE AND ORTHOPEDIC SPECIALISTS OF TAMPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARIANNE YANTZ (ASSISTANT ADMIN)
(561) 908-3204
Entity
Organization
Contact information
Practice address
6919 N DALE MABRY HWY STE 325, TAMPA, FL 33614-3860
(561) 507-0800
(561) 600-8705
Mailing address
2047 PALM BEACH LAKES BLVD STE 100, WEST PALM BEACH, FL 33409-6500
(561) 721-6880
(561) 600-8705
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
01/24/2024
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