| NPI | 1821500505 |
|---|---|
| Doing Business As | SPINE DME SOLUTION LLC |
| 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 |