Organization
LASER SPINE INSTITUTE, LLC
Active
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
644 EDEN PARK DR, CINCINNATI, OH 45202
(513) 906-6956
(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
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2015
Last updated
01/24/2017
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