Organization
LSI ASPEN BACK AND BODY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM E HORNE (CEO)
(813) 289-9613
Entity
Organization
Contact information
Practice address
315 E DEAN ST, ASPEN, CO 81611-1807
(970) 920-7772
Mailing address
3001 N ROCKY POINT DR E STE 360, TAMPA, FL 33607-5876
(813) 289-9613
(813) 418-4144
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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