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).
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 |
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 Name | Type Code |
---|---|
Brevard Rehabilitation Medicine | Former Legal Business Name - Organization |
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 |
Street Address |
308 S HARBOR CITY BLVD SUITE A |
City | MELBOURNE |
State | FL |
Zip Code | 32901-1500 |
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 |
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 |
Find all providers in zip 32901 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
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. |
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 |
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 |
Find all providers with the same taxonomy |
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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.