Organization
SPINE DME SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PERRY MD (MEDICAL DIRECTOR)
(813) 289-9613
Entity
Organization
Contact information
Practice address
300 ALLEN BRADLEY DR, MAYFIELD HEIGHTS, OH 44124
(813) 289-9613
(484) 253-1790
Mailing address
5332 AVION PARK DR, TAMPA, FL 33607-1412
(813) 392-7604
(484) 253-1790
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2017
Last updated
08/22/2018
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