Organization
LASER SPINE MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PERRY M.D. (MEDICAL DIRECTOR)
(813) 289-9613
Entity
Organization
Contact information
Practice address
3001 N ROCKY POINT DR E, STE 185, TAMPA, FL 33607-5810
(813) 289-9613
Mailing address
3001 N ROCKY POINT DR E, STE 185, TAMPA, FL 33607-5810
(813) 289-9613
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/03/2006
Last updated
08/22/2020
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