| 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 |