Organization
SPINE INJURY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC K GROTEKE DC (MEMBER)
(727) 474-9729
Entity
Organization
Contact information
Practice address
607 W MARTIN LUTHER KING BLVD, SUITE 1, TAMPA, FL 33603
(813) 463-0225
(813) 237-2149
Mailing address
607 W. MARTIN LUTHER KING BLVD, SUITE 1, TAMPA, FL 33603
(813) 463-0225
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
ME46811
FL
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
ME54499
FL
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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