| NPI | 1568874832 |
|---|---|
| Former Legal Business Name | LASER SPINE SURGERY CENTER OF MISSOURI, LLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL W PERRY Medical Director 813-289-9613 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2017-01-12 |