| NPI | 1225434293 |
|---|---|
| Doing Business As | PPOA MINIMALLY INVASIVE SPINE GROUP |
| Entity Type | Organization |
| Authorized Contact | TRACIE LAWSON President 813-549-2134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2017-12-25 |