Organization
SPINE SPECIALISTS OF AMERICA LLC
Active
Other names
Spine Specialists Network
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC K GROTEKE DC (MEMBER)
(727) 474-9729
Entity
Organization
Contact information
Practice address
13035 W LINEBAUGH AVE STE 101F, TAMPA, FL 33626-4481
(727) 474-9729
(727) 474-9947
Mailing address
13035 W LINEBAUGH AVE STE 101F, TAMPA, FL 33626-4481
(727) 474-9729
(727) 474-9947
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
ME54499
FL
208VP0014X
Interventional Pain Medicine Physician
ME115987
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME85743
FL
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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