REGENERATIVE SPORT SPINE AND SPA (NPI# 1598252090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598252090 |
| Entity Type | Organization |
| Organization Name | REGENERATIVE SPORT SPINE AND SPA |
| Practice Address |
10920 Moss Park Rd Ste 218 Orlando FL 32832-6087 |
| Practice Telephone | 4077305600 |
| Mailing Telephone | 4077305600 |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |
| Authorized Official Name | PALLAVI R. CHERUKUPALLY (OWNER) |
| Authorized Official Telephone | 4077305600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
ME127634 | FL | Ambulatory Health Care Facilities |
| Street Address |
10920 MOSS PARK RD STE 218 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32832-6087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144273723 | Pallavi R. Cherukupally | Physical Medicine & Rehabilitation | 10920 Moss Park Rd Ste 218, Orlando, FL 32832-6087 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482728 | Maria Belen Bengolea | Behavior Technician | 10920 Moss Park Rd. Suite 130, Orlando, FL 32832 | 2020-09-23 |
| 1942819495 | Oasis Counseling Services | Community/Behavioral Health | 11954 Narcoossee Rd., Ste 2 #278, Orlando, FL 32832 | 2020-07-29 |
| 1538628219 | Lake Nona Endodontics Pa | Dentist | 13571 Narcoossee Road, Orlando, FL 32832 | 2019-03-13 |
| 1235697707 | Pediatric Dental Group, LLC | Dentist | 12601 Narcoossee Rd, Unite 100a, Orlando, FL 32832 | 2019-03-04 |
| 1518451343 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 13072 Narcoossee Rd, Orlando, FL 32832 | 2018-06-15 |
| 1356834345 | Cachae Cierra Mason | Clinic/Center | 9412 Randal Park Blvd, Unit 6127, Orlando, FL 32832 | 2018-06-13 |
| 1598258832 | Magda Liliana Sanchez | Behavior Technician | 14046 Millington St, Orlando, FL 32832 | 2018-06-12 |
| 1982106423 | Grace-ann Lewis | Behavior Technician | 10920 Moss Park Road Suite 100, Orlando, FL 32832 | 2018-03-01 |
| 1427574151 | Nona Dentists, Pa | Dentist | 12711 Narcoossee Rd, Building B, Suite 100, Lake Nona, Orlando, FL 32832 | 2017-08-15 |
| 1578084281 | Crispus Nyambariga Ombui | Nurse Anesthetist, Certified Registered | 9452 Randal Park Blvd, Unit 2-2126, Orlando, FL 32832 | 2017-07-03 |
| Find all providers in zip 32832 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760941280 | Central Florida Anesthesia Services LLC | Clinic/Center | 110 W Underwood St Ste B, Orlando, FL 32806-1139 | 2019-03-14 |
| 1720335839 | Howard Eugene Gross | Clinic/Center | 8612 S Bay Dr, Orlando, FL 32819-4947 | 2012-08-08 |
| 1073874145 | Omnicare Medical Center Inc | Clinic/Center | 1805 W Colonial Dr, Suite A, Orlando, FL 32804-7013 | 2012-06-05 |
| 1679729271 | Kyle M. Crofoot, M.d., P.a. | Clinic/Center | 1400 Hillcrest St, Orlando, FL 32803-4709 | 2008-08-14 |
| 1982860482 | Ear Nose and Throat Specialists of St Cloud LLC | Clinic/Center | 7575 Dr. Phillips Blvd, Suite 10, Orlando, FL 32819-7221 | 2008-08-04 |
| 1972766244 | Wellness Chiropractic Care Center | Clinic/Center | 9521 S. Orange Blossom Trl, Ste102, Orlando, FL 32837 | 2008-07-08 |
| 1669672044 | A. R. Copely, Jr, Pa | Clinic/Center | 1455 Holden Ave, Orlando, FL 32839-1702 | 2007-07-23 |
| 1053760181 | Medsurg Healthcare Services, LLC | Clinic/Center | 801 N Orange Ave, Suite 710, Orlando, FL 32801-1026 | 2016-06-09 |
| 1033499280 | Advanced Cardiac Screening, Pllc | Clinic/Center | 13000 Avalon Lake Dr, Suite 100, Orlando, FL 32828-6434 | 2011-08-19 |
| 1598087231 | Women's Healthcare of Orlando, Pa | Clinic/Center | 3701 Avalon Park West Blvd, Suite 230, Orlando, FL 32828-7303 | 2010-02-22 |
| 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.