INTERVENTIONAL SPINE INSTITUTE OF FLORIDA, PA (NPI# 1588073308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588073308 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL SPINE INSTITUTE OF FLORIDA, PA |
| Other Organization Name | SPINE, ORTHOPEDICS AND REHABILITATION |
| Practice Address |
40 Alexandria Blvd Suite 1030 Oviedo FL 32765-3300 |
| 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 | 2014-08-06 |
| Last Update Date | 2014-10-02 |
| Authorized Official Name | DR. 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 INDIVIDUAL | 1639101744 | 01 |
| FL | CAQH | 10708014 | 01 |
| FL | MEDICAL LICENSE | ME76009 | 01 |
| FL | NPI-DME-MELBOURNE | 1326453143 | 01 |
| FL | DEA | BD4666965 | 01 |
| FL | NPI GROUP | 1225060338 | 01 |
| FL | MEDICARE GROUP | K5708 | 01 |
| Other Name | Type Code |
|---|---|
| Spine, Orthopedics and REhabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1154739258 | Interventional Spine Institute of Florida, Pa | Durable Medical Equipment & Medical Supplies | 389 Commerce Pkwy, Suite 120, Rockledge, FL 32955-4202 | 2014-08-01 |
| 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 |
40 ALEXANDRIA BLVD SUITE 1030 |
| City | OVIEDO |
| State | FL |
| Zip Code | 32765-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306140017 | Jacob Eugene Phillips | Physician Assistant | 40 Alexandria Blvd, Ste. 1030, Oviedo, FL 32765-3300 | 2011-01-10 |
| 1053793349 | Integrity Medical Group, LLC | Neurological Surgery | 40 Alexandria Blvd, Ste 1030, Oviedo, FL 32765-3300 | 2015-06-23 |
| 1760728711 | Procare Health & Rehab Centers, LLC | Chiropractor | 40 Alexandria Blvd, Suite 1020, Oviedo, FL 32765-3300 | 2012-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576663 | Robby Hoffmann | Physical Therapist | 800 Red Bug Lake Road, Oviedo, FL 32765 | 2020-04-07 |
| 1366096836 | Brian Timothy Lowney | Pharmacist | 2871 Clayton Crossing Way #1001, Oviedo, FL 32765 | 2019-08-01 |
| 1083184634 | Ashley Grace Fuller | Speech-Language Pathologist | 251 Plaza Drive Suite C, Oviedo, FL 32765 | 2018-11-27 |
| 1164904678 | Katharine Albarella | Dietitian, Registered | 905 S. Lake Jessup Ave, Oviedo, FL 32765 | 2018-08-30 |
| 1871082396 | Catherine Victoria Wahl | Behavior Technician | 1350 San Remo Pt Apt 102, Oviedo, FL 32765 | 2018-05-10 |
| 1366943953 | Oviedo Smiles Dentistry, Pa | Dentist | 65 W. Mitchell Hammock Rd., Suite 1511, Oviedo, FL 32765 | 2018-02-28 |
| 1407385792 | Affordable Dentist | Dentist | 3228, W State Road 426, Suite 1000, Oviedo, FL 32765 | 2017-06-08 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1174078281 | Dermatology and Skin Cancer Surgery Center, LLC | Dermatology | 7250 Red Bug Lake Rd Ste 1020, Oviedo, FL 32765 | 2016-08-18 |
| 1780038463 | Matthew Christo | Counselor | 5076 Sugberry Trail, Oviedo, FL 32765 | 2016-04-19 |
| Find all providers in zip 32765 | ||||
| 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 |
|---|---|---|---|---|
| 1366801763 | All Dolled Up Unisex Beauty Salon | Specialist | 3228 W. State Road 426, Suite 1008, Oviedo, FL 32765 | 2016-02-15 |
| 1548677057 | Ruben Martinez Md Pa | Specialist | 1984 Alafaya Trl Ste 1002, Oviedo, FL 32765-4524 | 2014-07-16 |
| 1093149148 | Confirmative Management Services, LLC | Specialist | 1305 City View Ctr, Oviedo, FL 32765-5531 | 2013-08-26 |
| 1336442045 | Advantacare of Florida, LLC | Specialist | 40 Alexandria Boulevard, Suite 1020, Oviedo, FL 32765 | 2010-12-20 |
| 1750599718 | Infinite Health and Wellness | Specialist | 89 Alafaya Woods Blvd, Oviedo, FL 32765-6235 | 2007-05-21 |
| 1881774016 | Vickie L Getter | Specialist | 15 Alafaya Woods Blvd, Suite 111, Oviedo, FL 32765-6297 | 2006-10-16 |
| 1922084433 | Prakash Maniam | Specialist | 8400 Red Bug Lake Rd Ste 1010, Oviedo, FL 32765 | 2005-12-16 |
| 1417506452 | Complete Care Centers, LLC | Specialist | 425 Alexandria Blvd Ste 1010, Oviedo, FL 32765-5548 | 2019-09-11 |
| 1619478179 | Infinite Strategic Innovations, LLC | Specialist | 1305 City View Ctr, Oviedo, FL 32765-5531 | 2018-02-21 |
| 1700387263 | Rx Development Associates, Inc. | Specialist | 1305 City View Ctr, Oviedo, FL 32765-5531 | 2018-02-21 |
| Find all providers in OVIEDO | ||||
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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.