| NPI | 1972093946 |
|---|---|
| Doing Business As | LASER SPINE INSTITUTE, LLC |
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARD BLAND Lic/Cred Manager 813-392-7604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OH 201812204520) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |