LAKE MARY SPINE & REHABILITATION CENTER (NPI# 1003473349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003473349 |
| Entity Type | Organization |
| Organization Name | LAKE MARY SPINE & REHABILITATION CENTER |
| Practice Address |
45677 Highway 27 Davenport FL 33897-4546 |
| Practice Telephone | 4079423258 |
| Practice Fax Number | 4407942331 |
| Mailing Telephone | 4079423258 |
| Mailing Fax Number | 4079423316 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |
| Authorized Official Name | YANINA GENAO (OWNER/DOCTOR) |
| Authorized Official Telephone | 4079423258 |
| Authorized Official Credential | DC |
| Is Organization Subpart | Y |
| Parent Organization Name | LAKE MARY SPINE & REHABILITATION CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Davenport Spine and Rehab Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154724441 | Lake Mary Spine & Rehabilitation Center | Clinic/Center | 820 W Lake Mary Blvd, 107, Sanford, FL 32773-5946 | 2014-10-01 |
| Street Address |
45677 HIGHWAY 27 |
| City | DAVENPORT |
| State | FL |
| Zip Code | 33897-4546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699319095 | Nandy Joel Toro Hernandez | Chiropractor | 45677 Highway 27, Davenport, FL 33897-4546 | 2019-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679182703 | Isis Orozco | Case Management | 9031 Pelican Cove, Davenport, FL 33897 | 2020-07-24 |
| 1669001178 | Jean Maxcene Decarde | Clinic/Center | 548 Solana Circle, Davenport, FL 33897 | 2020-04-06 |
| 1295298818 | Team Reid Solutions, Inc. | Clinic/Center | 843 Kettering Road, Davenport, FL 33897 | 2019-04-10 |
| 1013474063 | Surgeons of Central Florida LLC | General Practice | 755 Jay Bee Avenue, Davenport, FL 33897 | 2019-02-26 |
| 1033687108 | Detsy Z Negron | Registered Nurse | 121 Champions Vue Loop, Apt 101, Davenport, FL 33897 | 2018-11-07 |
| 1487122917 | Angela Burgos | Case Manager/Care Coordinator | 457 La Mirage Street, Davenport, FL 33897 | 2018-11-02 |
| 1790198323 | Compassionate Home Health Care LLC | Non-emergency Medical Transport (VAN) | 248 Plumoso Loop, Davenport, FL 33897 | 2014-06-11 |
| 1740530542 | Santiago Lopez | Chiropractor | 170 Hastead Dr, Davenport, FL 33897 | 2012-09-19 |
| 1942471685 | Carolina Gemma Leuthner | Speech-Language Pathologist | 736 Rodchester Loop, Davenport, FL 33897 | 2008-03-21 |
| 1013926377 | Omayra Torres | Dentist | 7700 Lake Wilson Road, Davenport, FL 33897 | 2006-08-05 |
| Find all providers in zip 33897 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609403054 | Lavender Luxe Massage | Clinic/Center | 100 3rd St Ste 100, Davenport, WA 99122-5008 | 2020-03-25 |
| 1295298818 | Team Reid Solutions, Inc. | Clinic/Center | 843 Kettering Road, Davenport, FL 33897 | 2019-04-10 |
| 1871020842 | Mohib Medical LLC | Clinic/Center | 410 Lionel Way Ste 200, Davenport, FL 33837-7809 | 2017-05-22 |
| 1801110945 | Stark Chiropractic, Ltd. | Clinic/Center | 1019 Mound St, Suite 304, Davenport, IA 52803-3964 | 2010-03-18 |
| 1316404957 | Heartland Endocrine Group Plc | Clinic/Center | 4620 E 53rd St Ste 200, Davenport, IA 52807-3627 | 2019-03-01 |
| 1326495771 | Carter Family Chiropractic LLC | Clinic/Center | 235 W 35th St, Suite 2d, Davenport, IA 52806-6141 | 2016-05-16 |
| 1033349253 | Millennium Rehab & Consulting, Inc. | Clinic/Center | 5260 Northwest Blvd, Suite 2, Davenport, IA 52806-2463 | 2009-07-22 |
| 1912192345 | Ramic Davenport, LLC | Clinic/Center | 3006 E 53rd St, Davenport, IA 52807-3012 | 2007-09-10 |
| 1205860400 | Genesis Health System | Clinic/Center | 1520 W 53rd St, Davenport, IA 52806-2459 | 2006-07-11 |
| 1346295466 | Four Corners Internal Medicine, LLC | Clinic/Center | 106 Polo Park East Blvd, Davenport, FL 33897-9407 | 2006-05-24 |
| Find all providers in DAVENPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.