| NPI | 1033621784 |
|---|---|
| Other Name | LASER SPINE INSTITUTE LL SOLE MBR |
| Entity Type | Organization |
| Authorized Contact | MICHAEL PERRY Medical Director 813-289-9613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2018-04-03 |