Provider Demographics
NPI:1982425393
Name:ALL SPINE CARE, LLC
Entity type:Organization
Organization Name:ALL SPINE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.O.O.
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:MI
Authorized Official - Last Name:COOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-474-7411
Mailing Address - Street 1:2730 N MCMULLEN BOOTH RD STE 202
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-3302
Mailing Address - Country:US
Mailing Address - Phone:727-474-7411
Mailing Address - Fax:833-974-2140
Practice Address - Street 1:2730 N MCMULLEN BOOTH RD STE 202
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-3302
Practice Address - Country:US
Practice Address - Phone:727-474-7411
Practice Address - Fax:833-974-2140
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL SPINE CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty