Organization
NEUROSURGICAL MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY J BUETTNER (ADMINISTRATOR)
(727) 894-5511
Entity
Organization
Contact information
Practice address
603 7TH ST S, STE 101, ST PETERSBURG, FL 33701
(727) 894-5511
(727) 822-0135
Mailing address
603 7TH ST S, STE 101, ST PETERSBURG, FL 33701
(727) 894-5511
(727) 822-0135
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
RN568622
FL
Other
Enumeration date
02/13/2006
Last updated
08/22/2020
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