Organization
LASERSCOPIC MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE SAMUEL BAILEY (CEO)
(727) 546-6566
Entity
Organization
Contact information
Practice address
5000 PARK ST N, ST PETERSBURG, FL 33709-2254
(727) 546-6566
(727) 546-6560
Mailing address
5000 PARK ST N, ST PETERSBURG, FL 33709-2254
(727) 546-6566
(727) 546-6560
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
684
FL
Other
Enumeration date
07/22/2005
Last updated
08/22/2020
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