Laser Spine Institute, LLC

NPI #1265483895 in Tampa, Florida

Provider Information

NPI Number: 1265483895
Entity Type: Organization
Organization Name: Laser Spine Institute, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: LSI HOLDCO, LLC
Primary Specialty: Specialist
Enumeration Date: May 16, 2006
Last Updated: Jan 25, 2017

Practice Location

Address: 5332 AVION PARK DRIVE
City: Tampa
State: Florida
ZIP Code: 33607
Phone: (813) 682-2944

Authorized Official

Name: MICHAEL W PERRY, MD
Title: MEDICAL DIRECTOR
Phone: (813) 289-9613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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