Lags Spine and Sportscare Medical Centers, Inc.

NPI #1912460874 in Bradenton, Florida

Provider Information

NPI Number: 1912460874
Entity Type: Organization
Organization Name: Lags Spine and Sportscare Medical Centers, Inc.
Primary Specialty: Physical Medicine & Rehabilitation - Pain Medicine
Enumeration Date: Apr 8, 2019
Last Updated: Apr 8, 2019

Practice Location

Address: 5701 21ST AVE W STE 3
City: Bradenton
State: Florida
ZIP Code: 34209-5605
Phone: (805) 928-7361

Authorized Official

Name: AMY DAMATO
Title: CONTRACTS MANAGER
Phone: (805) 264-3388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine	2081P2900X	Primary

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