NOVA ORTHO AND SPINE, PLLC (NPI# 1144787243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144787243 |
| Entity Type | Organization |
| Organization Name | NOVA ORTHO AND SPINE, PLLC |
| Practice Address |
1903 S 25th St Ste 103 Fort Pierce FL 34947-4740 |
| Practice Telephone | 7725294573 |
| Practice Fax Number | 7724104062 |
| Mailing Telephone | 7725294573 |
| Mailing Fax Number | 7724104062 |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-25 |
| Authorized Official Name | DR. MARC D BRODSKY (PHYSICIAN) |
| Authorized Official Telephone | 7722607023 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
1903 S 25TH ST STE 103 |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34947-4740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982174215 | Jennifer Denise Williams | Home Health Aide | 1301 South 33rd Street, Fort Pierce, FL 34947 | 2018-11-29 |
| 1811391345 | Shaikh International Medicine, LLC | Internal Medicine | 2504 Acorn St, Suite A, Ft Pierce, FL 34947 | 2014-10-13 |
| 1851728083 | Home Sweet Home of The Treasurwe Coast, Inc. | Assisted Living Facility | 3201 Avenue Q, Fort Pierce, FL 34947 | 2013-10-02 |
| 1831488469 | Gayle Freeman Jones | In Home Supportive Care | 3414 Sloan Rd, Fort Pierce, FL 34947 | 2011-04-05 |
| 1134370927 | Chelsea Lauren Pepera | Licensed Practical Nurse | 1816 South 31st Street, Fort Pierce, FL 34947 | 2008-10-10 |
| 1790971364 | Orion Cardiovascular, IIi | Clinic/Center | 1803 S 25th Street, Ste 1, Ft. Pierce, FL 34947 | 2007-09-18 |
| 1659441236 | Diagnostic Radiology Center of The Treasure Coast | Radiology | 2011 South 25th St, Suite 106, Ft Pierce, FL 34947 | 2006-11-09 |
| 1538245758 | Oswaldo Daniel Benitez Sr. | Family Medicine | 408 South 25th Street, Fort Pierce, FL 34947 | 2006-10-31 |
| 1689786774 | Ajay Kumar Goyal | Radiology | 2011 S 25th St, Suite 106, Fort Pierce, FL 34947 | 2006-08-31 |
| 1649340258 | Ajay K Goyal Md Pa | Radiology | 2011 South 25th St, Suite 106, Ft Pierce, FL 34947 | 2006-11-09 |
| Find all providers in zip 34947 | ||||
| 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 |
|---|---|---|---|---|
| 1912468562 | Precious Alford | Clinic/Center | 2817 Jefferson Pkwy Apt B, Fort Pierce, FL 34946-6751 | 2019-03-27 |
| 1376981985 | Beachland Retirement Home | Clinic/Center | 462 Hernando St, Fort Pierce, FL 34949-3243 | 2013-06-06 |
| 1407161391 | Romeo S Colina Md Pa | Clinic/Center | 1900 Nebraska Ave Ste 8, Fort Pierce, FL 34950-4837 | 2010-08-16 |
| 1447345574 | Counseling and Recovery Center, Inc. | Clinic/Center | 4753 Orange Ave, Fort Pierce, FL 34947-3410 | 2006-10-04 |
| 1891775581 | Va Primary Care Clinic | Clinic/Center | 727 N Us Highway 1, Fort Pierce, FL 34950-9125 | 2006-01-19 |
| 1497371108 | Grace Wellness Center LLC | Clinic/Center | 2504 Acorn St Ste A, Fort Pierce, FL 34947-4746 | 2020-06-18 |
| 1861039109 | Acorn Wellness Center LLC | Clinic/Center | 2506 Acorn St, Fort Pierce, FL 34947-4750 | 2019-12-05 |
| 1770096653 | St. Lucie Injury and Health, LLC | Clinic/Center | 4814 S Us Highway 1, Fort Pierce, FL 34982-7078 | 2017-11-14 |
| 1821233305 | Syed Shafeeq Ur Rahman Pa | Clinic/Center | 805 Virginia Ave, Suite 16, Fort Pierce, FL 34982-5881 | 2008-12-11 |
| 1750447405 | Wholistic Medicine Clinic, LLC | Clinic/Center | 2401 Frist Blvd, Suite 7, Fort Pierce, FL 34950-4839 | 2006-12-28 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34947 |
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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.