Organization
FLORIDA SPINE AND PAIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY GUTTI BABU M.D. (CEO)
(352) 775-2826
Entity
Organization
Contact information
Practice address
1400 N US HWY 441, STE 536, LADY LAKE, FL 32159-8986
(352) 775-2826
(352) 547-4011
Mailing address
1400 N US HWY 441, STE 536, LADY LAKE, FL 32159-8986
(352) 775-2826
(352) 547-4011
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME126127
FL
Other
Enumeration date
10/10/2016
Last updated
03/04/2017
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