INTERVENTIONAL SPINE INSTITUTE OF FLORIDA, PA (NPI# 1154739258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154739258 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL SPINE INSTITUTE OF FLORIDA, PA |
| Other Organization Name | SPINE, ORTHOPEDICS AND REHABILITATION |
| Practice Address |
389 Commerce Pkwy Suite 120 Rockledge FL 32955-4202 |
| Mailing Address |
308 S Harbor City Blvd Suite A Melbourne FL 32901-1500 |
| Practice Telephone | 3217330064 |
| Practice Fax Number | 3217337970 |
| Mailing Telephone | 3217330064 |
| Mailing Fax Number | 3217337970 |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-10-02 |
| Authorized Official Name | BRIAN C DOWDELL (OWNER/CEO/PRESIDENT) |
| Authorized Official Telephone | 3217330064 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 60952 | FL | Suppliers |
| Y | 174400000X | Specialist | 60952 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NPI-DME-MELBOURNE | 1326453143 | 01 |
| FL | NPI GROUP | 1225060338 | 01 |
| FL | CAQH | 10708014 | 01 |
| FL | DEA | BD4666965 | 01 |
| FL | MEDICARE GROUP | K5708 | 01 |
| FL | NPI INDIVIDUAL | 1639101744 | 01 |
| FL | MEDICAL LICENSE | ME76009 | 01 |
| Other Name | Type Code |
|---|---|
| Spine, Orthopedics and Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588073308 | Interventional Spine Institute of Florida, Pa | Durable Medical Equipment & Medical Supplies | 40 Alexandria Blvd, Suite 1030, Oviedo, FL 32765-3300 | 2014-08-06 |
| 1396154118 | Interventional Spine Institute of Florida, Pa | Durable Medical Equipment & Medical Supplies | 1315 S International Pkwy, Suite 1111, Lake Mary, FL 32746-1407 | 2014-08-06 |
| 1326453143 | Interventional Spine Institute of Florida, Pa | Durable Medical Equipment & Medical Supplies | 308 S Harbor City Blvd, Suite A, Melbourne, FL 32901-1500 | 2014-07-01 |
| Street Address |
389 COMMERCE PKWY SUITE 120 |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955-4202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649202862 | Sasi Kumar | Internal Medicine | 389 Commerce Pkwy, Rockledge, FL 32955-4202 | 2006-07-07 |
| 1386053106 | Interventional Spine Institute of Florida | Specialist | 389 Commerce Pkwy, Suite 120, Rockledge, FL 32955-4202 | 2014-08-06 |
| 1689828204 | Abdul M Karim Pa | Internal Medicine | 389 Commerce Pkwy, Suite 120, Rockledge, FL 32955-4202 | 2008-11-10 |
| 1790846756 | Abdul Karim | Internal Medicine | 389 Commerce Pkwy, Rockledge, FL 32955-4202 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
| 1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
| 1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
| 1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
| Find all providers in zip 32955 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831402643 | Vinaya Kumar Pa | Specialist | 2070 Us Highway 1 Ste 103, Rockledge, FL 32955-3745 | 2010-07-21 |
| 1790002442 | John Michael Adams | Specialist | 5410 Murrell Rd, Rockledge, FL 32955-6648 | 2010-04-21 |
| 1811185754 | Carolyn Helms | Specialist | 1615 Fiske Blvd, Rockledge, FL 32955-2506 | 2007-10-04 |
| 1659582054 | The Rockledge Urgent Care Center, Inc | Specialist | 1682 Fiske Blvd, Rockledge, FL 32955-2535 | 2007-05-25 |
| 1174634125 | Cheri Carman | Specialist | 400 Barton Blvd # 201, Rockledge, FL 32955-2710 | 2006-08-31 |
| 1023093416 | Orthopedic Brace Inc | Specialist | 836 Executive Ln, Suite 110, Rockledge, FL 32955-3597 | 2005-12-08 |
| 1245236330 | Fox Chase Medical Center Radiology Associates | Specialist | 820 Fox Chase Rd, Rockledge, PA 19046-4437 | 2005-06-23 |
| 1386053106 | Interventional Spine Institute of Florida | Specialist | 389 Commerce Pkwy, Suite 120, Rockledge, FL 32955-4202 | 2014-08-06 |
| 1649594847 | Disa Gage Sacks Md Pa | Specialist | 1282 S Us Highway 1, Suite 4, Rockledge, FL 32955-2747 | 2010-03-17 |
| 1699950246 | Clinita Singleton Lynch | Specialist | 1982 Rockledge Blvd, Suite 102, Rockledge, FL 32955-3723 | 2008-01-02 |
| Find all providers in ROCKLEDGE | ||||
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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.