SOUTHWEST FLORIDA SPINE INSTITUTE PLLC (NPI# 1700045069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700045069 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST FLORIDA SPINE INSTITUTE PLLC |
| Practice Address |
3420 Tamiami Trl Suite 1 Port Charlotte FL 33952-8126 |
| Mailing Address |
Po Box 494409 Port Charlotte FL 33949-4409 |
| Practice Telephone | 9419797310 |
| Mailing Telephone | 9419797310 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |
| Authorized Official Name | DR. MARIO L PEREIRA (PHYSICIAN) |
| Authorized Official Telephone | 9419797310 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | ME98377 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
3420 TAMIAMI TRL SUITE 1 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952-8126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235176116 | Paige Kreegel Md Pa | General Practice | 3420 Tamiami Trl, Suite 2, Port Charlotte, FL 33952-8127 | 2006-06-01 |
| 1740733567 | Quality Rehabilitation Inc. | Physical Therapist | 3420 Tamiami Trl, Suite# 1, Port Charlotte, FL 33952-8126 | 2016-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| Find all providers in zip 33952 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376595561 | Howard F Saslow | Orthopaedic Surgery | 4680 Grassy Point Blvd Unit 101, Port Charlotte, FL 33952-9179 | 2006-05-16 |
| 1386646800 | Mark Joel Davis | Orthopaedic Surgery | 1951b Tamiami Trl, Port Charlotte, FL 33948-2112 | 2005-08-15 |
| 1841298304 | Kenneth D. Levy | Orthopaedic Surgery | 1641 Tamiami Trl, Ste 1, Port Charlotte, FL 33948-1042 | 2005-07-08 |
| 1891038659 | Midisc, Pllc | Orthopaedic Surgery | 3067 Tamiami Trl, Ste 3, Port Charlotte, FL 33952-6619 | 2013-03-30 |
| 1508163858 | Punta Gorda Hma Physician Management LLC | Orthopaedic Surgery | 1951b Tamiami Trl, Port Charlotte, FL 33948-2112 | 2011-02-23 |
| 1083850820 | Jeffrey G. Bentson, M.d., Pllc | Orthopaedic Surgery | 4161 Tamiami Trl, Unit 101, Port Charlotte, FL 33952-9204 | 2008-12-29 |
| 1023264868 | Steven Raymond Anthony | Orthopaedic Surgery | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 | 2008-08-12 |
| 1659418333 | Gregory Paul Gebauer | Orthopaedic Surgery | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1042 | 2007-01-31 |
| 1013000769 | Jason M Mlnarik | Orthopaedic Surgery | 1641 Tamiami Trl, Suite 1, Port Charlotte, FL 33948-1018 | 2006-10-02 |
| 1508872979 | Howard F Saslow Md Pa | Orthopaedic Surgery | 2525 Harbor Blvd, Ste 202, Port Charlotte, FL 33952-5345 | 2006-07-31 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
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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.