GULFCOAST SPINE INSTITUTE, PA (NPI# 1174040828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174040828 |
Entity Type | Organization |
Organization Name | GULFCOAST SPINE INSTITUTE, PA |
Other Organization Name | BIOSPINE INSTITUTE |
Practice Address |
3900 Millenia Blvd Ste 300 Orlando FL 32839-6407 |
Mailing Address |
4211 W Boy Scout Blvd Ste 400 Tampa FL 33607-5766 |
Practice Telephone | 8134432108 |
Practice Fax Number | 8132847952 |
Mailing Telephone | 8134432108 |
Mailing Fax Number | 8132847952 |
Enumeration Date | 2017-08-24 |
Last Update Date | 2020-06-04 |
Authorized Official Name | MR. JAMES J RONZO (OWNER) |
Authorized Official Telephone | 8134432108 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
BioSpine Institute | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659980654 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 439 S Florida Ave Ste 300, Lakeland, FL 33801-5212 | 2020-07-24 |
1013334655 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 4211 W Boy Scout Blvd, Suite 400, Tampa, FL 33607-5724 | 2014-03-20 |
1225454283 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 4211 W Boy Scout Blvd, Suite 400, Tampa, FL 33607-5724 | 2014-03-13 |
1811125735 | Gulfcoast Spine Institute, Pa | Neurological Surgery | 4211 W Boy Scout Blvd, Suite 400, Tampa, FL 33607-5724 | 2009-06-30 |
1891934402 | Gulfcoast Spine Institute, Pa | Neurological Surgery | 7101 Mariner Blvd, Brooksville, FL 34609-1048 | 2009-02-05 |
1639132616 | Gulfcoast Spine Institute, Pa | Neurological Surgery | 4211 W Boy Scout Blvd, Suite 400, Tampa, FL 33607-5724 | 2006-04-10 |
Street Address |
3900 MILLENIA BLVD STE 300 |
City | ORLANDO |
State | FL |
Zip Code | 32839-6407 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851916951 | Good Ole Days Adult Living Facility LLC | Assisted Living Facility | 3913 Trovati Street, Orlando, FL 32839 | 2020-06-15 |
1396399846 | Steven Outlaw | Specialist/Technologist | 216 Spencer St, Orlando, FL 32839 | 2019-08-01 |
1225517279 | Orlando Outpatient Surgery Center LLC | Clinic/Center | 1736 33rd St, Orlando, FL 32839 | 2018-08-10 |
1811406564 | Latonya Rouse | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5214 Via Hacienda, 206, Orlando, FL 32839 | 2017-09-26 |
1154841153 | Jillisa Clobree Tarver | Technician, Other | 5451 Millenia Lakes Blvd Apt 186, Orlando, FL 32839 | 2017-06-21 |
1760917728 | Beatriz Baez | Health Educator | 4836 Ligustrom Way, Orlando, FL 32839 | 2017-04-27 |
1740637115 | Marines Vigo | Psychologist | 1114 Redman St, Apt B, Orlando, FL 32839 | 2016-05-16 |
1417332560 | Kimona Lawrence | Optometrist | 4200 Conroy Road, Orlando, FL 32839 | 2015-07-29 |
1942627732 | Jennifer Lombardo | Social Worker | 4530 S Orange Blossom Trl # 570, Orlando, FL 32839 | 2014-03-18 |
1336413863 | Cheryl Lynn Anderson | Social Worker | 3805 Millenia Blvd, #110, Orlando, FL 32839 | 2012-03-01 |
Find all providers in zip 32839 |
Taxonomy Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366940140 | Joint Replacement Cin of Orlando LLC | Orthopaedic Surgery | 5401 S Kirkman Rd Ste 310b, Orlando, FL 32819-7940 | 2018-01-26 |
1942442462 | Ravi Raj Patel | Orthopaedic Surgery | 25 W Crystal Lake Street, Suite 200, Orlando, FL 32806-4476 | 2009-03-30 |
1689616989 | James Manzanares | Orthopaedic Surgery | 7824 Lake Underhill Road Suite H, Orlando, FL 32822 | 2006-06-12 |
1528026812 | Geoffrey Stewart | Orthopaedic Surgery | 1131 S Orange Ave, Orlando, FL 32806-1226 | 2006-05-03 |
1689645426 | Stephen R Goll | Orthopaedic Surgery | 25 West Crystal Lake Street, Suite 200, Orlando, FL 32806-1049 | 2006-01-30 |
1891189973 | American Spine & Orthopaedic Institute, LLC | Orthopaedic Surgery | 7824 Lake Underhill Road Suite H, Orlando, FL 32822 | 2015-03-26 |
1639516164 | Joseph Edward Snavely | Orthopaedic Surgery | 1131 S Orange Ave, Orlando, FL 32806 | 2013-05-23 |
1992753644 | Joseph Charles Flynn Jr. | Orthopaedic Surgery | 1131 S Orange Ave, Orlando, FL 32806-1226 | 2006-05-05 |
1497703656 | Spine & Scoliosis Center, P.a. | Orthopaedic Surgery | 1131 S Orange Ave, Orlando, FL 32806-1226 | 2006-05-04 |
1528031606 | Steven Edward Weber | Orthopaedic Surgery | 25 W Crystal Lake St, Suite 200, Orlando, FL 32806-4475 | 2006-02-09 |
Find all providers in ORLANDO |
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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.