MEDICARE: ELEVATED SPINE INJURY GROUP PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician

General Provider Information

NPI Number	:	1255298071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEVATED SPINE INJURY GROUP PLLC

Provider Business Mailing Address
First Line	:	1121 E TWIGGS ST STE 102
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-3133
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1121 E TWIGGS ST STE 102
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-3133
Country	:	US
Telephone Number	:	877-776-1121
Fax Number	:

Authorized Official
Title or Position	:	NEUROSURGERY
Name	:	DR. DEJAN SLAVNIC
Credential	:	DO
Telephone Number	:	877-776-1121

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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