INTERVENTIONAL SPINE INSTITUTE OF FLORIDA


Address: 308 S Harbor City Blvd, Suite A, Melbourne, FL 32901-1500
Phone: 3217330064

INTERVENTIONAL SPINE INSTITUTE OF FLORIDA (NPI# 1225060338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225060338
Entity Type Organization
Organization Name INTERVENTIONAL SPINE INSTITUTE OF FLORIDA
Other Organization Name BREVARD REHABILITATION MEDICINE
Practice 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 2006-07-07
Last Update Date 2012-07-18
Authorized Official Name BRIAN CHRISTOPHER DOWDELL (CEO/MED DIRECTOR)
Authorized Official Telephone 3217330064
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208100000X Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians
N 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
ME109841 FL Allopathic & Osteopathic Physicians
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
ME0076009 FL Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Brevard Rehabilitation Medicine Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1386053106 Interventional Spine Institute of Florida Specialist 389 Commerce Pkwy, Suite 120, Rockledge, FL 32955-4202 2014-08-06
1194134916 Interventional Spine Institute of Florida Physical Medicine & Rehabilitation 12301 Lake Underhill Rd, Suite 121, Orlando, FL 32828-4508 2014-08-06
1093123127 Interventional Spine Institute of Florida Physical Medicine & Rehabilitation 1315 S International Pkwy, Suite 1111, Lake Mary, FL 32746-1407 2014-08-01

Office Location

Street Address 308 S HARBOR CITY BLVD
SUITE A
City MELBOURNE
State FL
Zip Code 32901-1500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558351692 Alberto M Cabantog Anesthesiology 308 S Harbor City Blvd, Suite A, Melbourne, FL 32901-1500 2005-10-27
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
1558709386 Venecia Estela Miller Registered Nurse 308 S Harbor City Blvd, Suite C, Melbourne, FL 32901-1500 2013-06-14
1952544371 Madhavi Chary Family Medicine 308 S Harbor City Blvd, Suite A, Melbourne, FL 32901-1500 2009-04-15
1639101744 Brian Christopher Dowdell Physical Medicine & Rehabilitation 308 S Harbor City Blvd, Suite A, Melbourne, FL 32901 2006-07-07
1083696884 Matthew Karl Thompson Physical Therapist 308 S Harbor City Blvd, Suite B, Melbourne, FL 32901-1500 2005-11-17
1619959632 Kenneth Michael Jagdmann Physical Therapist 308 S Harbor City Blvd, Suite B, Melbourne, FL 32901-1500 2005-11-16
1962483370 Intracoastal Physical Therapy, LLC Physical Therapist 308 S Harbor City Blvd, Suite B, Melbourne, FL 32901-1500 2005-11-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467062943 George Pappas Anesthesiologist Assistant 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 2020-08-09
1124676820 Abbi Dell Lee Behavioral Analyst 3251 Engineering St, Melbourne, FL 32901 2019-08-27
1750856878 Jeffrey Michael Cavanagh Behavior Technician 3251 Engineering Street, Melbourne, FL 32901 2018-10-04
1740766021 Amanda Miller Behavior Technician 1885 W Hibiscus Blvd, Melbourne, FL 32901 2018-07-19
1396244406 Dragen II LLC Urology 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 2018-02-03
1225550692 Cabrit Psychotherapy Services LLC Marriage & Family Therapist 100 Rialto Place, Suite 700, Melbourne, FL 32901 2017-07-07
1487188058 Project Response, Inc. Clinic/Center 747 S. Apollo Boulevard, Melbourne, FL 32901 2017-04-20
1184174575 Paulette Swanson Physical Therapist 611 East Sheridan Rd, Melbourne, FL 32901 2016-10-10
1841747839 Nicholas Wilson Social Worker 3661 S. Babcock St., Melbourne, FL 32901 2016-09-07
1467804278 Nickolas Hetherington Occupational Therapist 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 2016-07-05
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568755593 Richard S Rogers Dc Chartered Pain Medicine 1571 Aurora Rd, Melbourne, FL 32935-5448 2011-05-24
1912013699 Jose A Alvarez Pain Medicine 205 E Nasa Blvd Ste 200, Melbourne, FL 32901-1954 2006-08-22
1346723244 Brevard Health Group LLC Pain Medicine 1301 W Eau Gallie Blvd Ste 112, Melbourne, FL 32935 2018-09-07
1669921094 Us National Healthcare Clinics, Inc Pain Medicine 8043 Spyglass Hill Rd, B, Melbourne, FL 32940-8563 2016-09-27
1063858447 The Pain Institute Inc Pain Medicine 5545 N Wickham Rd, Suite 104, Melbourne, FL 32940-7323 2013-05-13
1417247446 William Goes Stephens Pain Medicine 205 E Nasa Blvd Ste 200, Melbourne, FL 32901-1954 2011-04-11
1336238898 Albert Esmailzadeh Pain Medicine 205 E Nasa Blvd, Suite 200, Melbourne, FL 32901-1950 2006-10-12
1700819612 Nancy Lr Layton Pain Medicine 307 E New Haven Ave, Melbourne, FL 32901-4576 2006-07-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659979706 Specialty Physician Services. LLC Pain Medicine 9150 Sw 87th Ave Ste 200, Miami, FL 33176-2313 2020-10-12
1700403847 Advanced Interventional Pain Center Fl Pain Medicine 1831 N Belcher Rd Ste E1, Clearwater, FL 33765-1442 2020-07-05
1770108110 The Neomedicine Institute LLC Pain Medicine 2510 Nw 97th Ave Ste 110, Doral, FL 33172-1407 2020-06-11
1316583362 Lisa M Gonzalez Pain Medicine 8136 Centralia Ct Ste 103, Leesburg, FL 34788-3757 2019-11-25
1306488820 Alberto Rivera-sanchez Pa Pain Medicine 201 W Canton Ave Ste 275, Winter Park, FL 32789-3148 2019-10-16
1912560798 Jacksonville Spine Center Pa Pain Medicine 2349 Village Square Pkwy Ste 107, Fleming Island, FL 32003-4319 2019-04-17
1942765144 Nixpain LLC Pain Medicine 2750 Ne 14th St, Fort Lauderdale, FL 33304-1611 2019-02-01
1346737749 Ceda Orthopedics Group, LLC. Pain Medicine 815 Nw 57th Avenue, Ste. 202, Miami, FL 33126 2018-04-20
1174025001 Lighthouse Point Surgery Center LLC Pain Medicine 1821 Ne 25th St Ste 100, Lighthouse Point, FL 33064-7744 2018-03-07
1801394440 Neuspine Therapy LLC Pain Medicine 12880 Us 301, Dade City, FL 33525-5801 2018-01-29
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Competitor

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City MELBOURNE
Zip Code 32901

Improve Information

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Dataset Information

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.

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