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1730691403
LASER SPINE INSTITUTE LLC SOLE MBR
WAYNE, PA
NPI
1730691403
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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
2017-11-02
Business Address
LASER SPINE INSTITUTE LLC SOLE MBR
656 E SWEDESFORD RD
WAYNE, PA 19087-1606
Phone number: 813-289-9613
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Mailing Address
LASER SPINE INSTITUTE LLC SOLE MBR
5332 AVION PARK DR
TAMPA, FL 33607-1412
Phone number: 813-392-7604
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