Organization
USA SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN S MAXCY MD (MD)
(813) 855-8400
Entity
Organization
Contact information
Practice address
300 STATE ST E STE 222, OLDSMAR, FL 34677-3711
(813) 855-8400
(813) 855-9200
Mailing address
300 STATE ST E STE 222, OLDSMAR, FL 34677-3711
(813) 855-8400
(813) 855-9200
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/29/2015
Last updated
10/19/2023
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