Organization
PREMIER NEUROSPINE INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPER J KOEBBE MD (PRESIDENT)
(727) 605-1770
Entity
Organization
Contact information
Practice address
5800 49TH ST N STE 201, ST PETERSBURG, FL 33709-2100
(727) 605-1770
Mailing address
5800 49TH ST N STE 201, ST PETERSBURG, FL 33709-2100
(727) 605-1770
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
03/10/2022
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