Organization
RENEW SPINAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J SAM BAILEY (EXECUTIVE)
(214) 864-9774
Entity
Organization
Contact information
Practice address
2203 N. LOIS AVE., SUITE M-250, TAMPA, FL 33607
(214) 864-9774
Mailing address
2203 N. LOIS AVE., SUITE M-250, TAMPA, FL 33607
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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