NPI | 1669804613 |
---|---|
Doing Business As | INNOVATIVE SPINE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | HAROLD J LAWLER Owner 941-251-5930 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL ME59641) |
Enumeration Date | 2013-08-01 |
Last Update Date | 2014-07-30 |