Organization
TOTAL SPINE CARE, LLC
Active
Other names
Laser Spine Institute, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES EDWARD BLAND (LIC/CRED MANAGER)
(813) 392-7604
Entity
Organization
Contact information
Practice address
644 EDEN PARK DR, CINCINNATI, OH 45202-6031
(813) 289-9613
(484) 253-1790
Mailing address
5332 AVION PARK DR, TAMPA, FL 33607-1412
(813) 289-9613
(484) 253-1790
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
201812204520
OH
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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