FLORIDA SPINE & REHAB CENTER, LLC (NPI# 1396032793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396032793 |
| Entity Type | Organization |
| Organization Name | FLORIDA SPINE & REHAB CENTER, LLC |
| Practice Address |
483 N Semoran Blvd Ste 104 Winter Park FL 32792-3800 |
| Mailing Address |
483 N. Semoran Blvd Suite 104 Winter Park FL 32792-4549 |
| Practice Telephone | 4077722225 |
| Practice Fax Number | 4077720302 |
| Mailing Telephone | 4077722225 |
| Mailing Fax Number | 4077720302 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2013-01-07 |
| Authorized Official Name | TY ANTHONY TRUDEAU (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 4077722225 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
CH7566 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NPI | 1235252537 | 01 |
| Street Address |
483 N SEMORAN BLVD STE 104 |
| City | WINTER PARK |
| State | FL |
| Zip Code | 32792-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679534366 | Jonathan C. Eugenio | Radiology | 483 N Semoran Blvd Ste 104, Winter Park, FL 32792-3800 | 2006-03-31 |
| 1427596402 | Andrew Ray Beachum | Chiropractor | 483 N Semoran Blvd Ste 104, Winter Park, FL 32792-3800 | 2017-02-09 |
| 1902283138 | Sydney Scheft | Chiropractor | 483 N Semoran Blvd Ste 104, Winter Park, FL 32792-3800 | 2015-04-27 |
| 1497813034 | Florida Radiology Centers LLC | Clinic/Center | 483 N Semoran Blvd Ste 104, Winter Park, FL 32792-3803 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647589 | Interim Personal Care Services, LLC | Home Health | 1890 State Road 436, Suite 355, Winter Park, FL 32792 | 2020-07-23 |
| 1710510649 | Chrisline Badio | Clinic/Center | 3040 Aloma Ave Apt J12, Winter Park, FL 32792 | 2020-02-19 |
| 1679112411 | The Local Health Council of East Central Florida, Inc. | Voluntary or Charitable | 5931 Brick Court, Suite 164, Winter Park, FL 32792 | 2019-12-26 |
| 1710534201 | Robert Scott Hughes | Occupational Therapy Assistant | 925 South Semoran Blvd, #110a, Winter Park, FL 32792 | 2019-08-20 |
| 1164077962 | Dentists of Winter Park, Pa | Dentist | 1973 Aloma Avenue, Winter Park, FL 32792 | 2019-08-08 |
| 1659938637 | Adventist Health System/sunbelt Inc Dba Adventhealth Orlando | Pharmacy | 2005 Mizell Avenue, Suite 900, Winter Park, FL 32792 | 2019-05-24 |
| 1104397801 | Jose M Martinez Rivera | Chiropractor | 471 N Semoran Blvd., Suite B, Orlando, FL 32792 | 2018-12-07 |
| 1750875720 | Andrea Nalborczyk | Student in an Organized Health Care Education/Training Program | 133 Benmore Dr #200, Winter Park, FL 32792 | 2018-06-21 |
| 1841787157 | Rd Health Diagnostic LLC | Clinical Medical Laboratory | 6904 Aloma Ave, Winter Park, FL 32792 | 2018-04-23 |
| 1548763006 | Daniel Remington Geer | Hearing Instrument Specialist | 7007 University Blvd, Winter Park, FL 32792 | 2018-03-12 |
| Find all providers in zip 32792 | ||||
| Taxonomy Code | 111NX0800X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Orthopedic |
| Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326506270 | Daniel J Borman II LLC | Chiropractor | 3600 Forest Hill Blvd Ste 2, Palm Springs, FL 33406-5617 | 2019-03-11 |
| 1548777543 | Ceda Orthopedics & Interventional Medicine | Chiropractor | 10974 Sw 184th Street, Miami, FL 33157 | 2017-12-29 |
| 1598203283 | Raymond G Nietzold Dc, Pa | Chiropractor | 1745 S Highland Ave Ste 2, Clearwater, FL 33756-1852 | 2017-02-02 |
| 1366861809 | Pa Professional Care Inc | Chiropractor | 7969 Nw 2nd St, #371, Miami, FL 33126-8000 | 2014-04-14 |
| 1871926485 | Richard B. Lehman | Chiropractor | 9801 Ne 2nd Ave, Miami Shores, FL 33138-2312 | 2013-08-19 |
| 1376815035 | J Jeffrey Bos D C P A | Chiropractor | 1450 Tuscawilla Rd, Suite 100, Winter Springs, FL 32708-5204 | 2012-01-27 |
| 1396035655 | Chad F Polley Pa | Chiropractor | 166 E Bloomingdale Ave Ste B, Brandon, FL 33511-8101 | 2011-04-07 |
| 1033414180 | Randall Israel Newton Sprague | Chiropractor | 166. E. Bloomingdale Ave., Suite B, Brandon, FL 33511 | 2011-01-21 |
| 1356585491 | Steven Kenneth Alukonis I | Chiropractor | 401 N Wickham Rd Ste U, Melbourne, FL 32935-8659 | 2009-04-20 |
| 1831366749 | Reed Chiropractic, P.l.l.c. | Chiropractor | 3651 42nd Ave S, Suite C-104, St Petersburg, FL 33711-4300 | 2008-05-09 |
| Find all providers with the same taxonomy | ||||
| City | WINTER PARK |
| Zip Code | 32792 |
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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.