Organization
INNOVATIVE SPINE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN DAVID WATSON M.D. (OWNER)
(727) 360-6315
Entity
Organization
Contact information
Practice address
1700 N MCMULLEN BOOTH RD, SUITE A2-1, CLEARWATER, FL 33759-2130
(727) 360-6315
(408) 228-8953
Mailing address
7000 BEACH PLZ APT 901, ST PETE BEACH, FL 33706-3662
(727) 360-6315
(408) 228-8953
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
ME 105674
FL
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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