MEDICARE: LASER SPINE INTERNATIONAL

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1265398432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LASER SPINE INTERNATIONAL

Provider Business Mailing Address
First Line	:	300 STATE ST E STE 222
Second Line	:
City	:	OLDSMAR
State	:	FL
Zip	:	34677-3711
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 STATE ST E STE 222
Second Line	:
City	:	OLDSMAR
State	:	FL
Zip	:	34677-3711
Country	:	US
Telephone Number	:	813-819-0290
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	BELINDA SAROSI
Credential	:
Telephone Number	:	727-615-8414

Provider Enumeration Date	:	12/31/2025
Last Update Date	:	12/31/2025

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Directions to “LASER SPINE INTERNATIONAL ” Practice Location

Language	Start Address	Practice Location

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