Organization
LASER SPINE INSTITUTE LL SOLE MBR
Active
Other names
Spine DME Solutions LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PERRY MD (MEDICAL DIRECTOR)
(813) 289-9613
Entity
Organization
Contact information
Practice address
4727 GAILLARDIA PKWY STE 140, OKLAHOMA CITY, OK 73142-1927
(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
11/02/2017
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