Organization
USA SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLEEN S MAXCY MD, MPH (OWNER)
(813) 855-8400
Entity
Organization
Contact information
Practice address
300 STATE ST E STE 222, OLDSMAR, FL 34677-3711
(813) 855-8400
(813) 855-9200
Mailing address
300 STATE ST E, OLDSMAR, FL 34677-3702
(813) 855-8400
(813) 855-9200
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
10/10/2014
Last updated
03/25/2024
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