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Organization

GULFCOAST SPINE INSTITUTE, LLC

Active
Other names
BioSpine Institute
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES RONZO DO (PRESIDENT)
(386) 261-9491
Entity
Organization

Contact information

Practice address
1105 SAXON BLVD STE 202, ORANGE CITY, FL 32763-8470
(386) 261-9491
(813) 443-8255
Mailing address
4211 W BOY SCOUT BLVD STE 400, TAMPA, FL 33607-5766
(813) 443-2108
(813) 443-8255

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary

Other

Enumeration date
12/01/2021
Last updated
11/07/2023
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