GULFCOAST SPINE INSTITUTE, PA (NPI# 1811125735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811125735 |
| Entity Type | Organization |
| Organization Name | GULFCOAST SPINE INSTITUTE, PA |
| Other Organization Name | BIOSPINE INSTITUTE |
| Practice Address |
4211 W Boy Scout Blvd Suite 400 Tampa FL 33607-5724 |
| Practice Telephone | 8554853262 |
| Practice Fax Number | 8134438255 |
| Mailing Telephone | 8134432108 |
| Mailing Fax Number | 8134438255 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | MR. JAMES JOSEPH RONZO (OWNER) |
| Authorized Official Telephone | 8134432108 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| BioSpine Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659980654 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 439 S Florida Ave Ste 300, Lakeland, FL 33801-5212 | 2020-07-24 |
| 1174040828 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 3900 Millenia Blvd Ste 300, Orlando, FL 32839-6407 | 2017-08-24 |
| 1013334655 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 4211 W Boy Scout Blvd, Suite 400, Tampa, FL 33607-5724 | 2014-03-20 |
| 1225454283 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 4211 W Boy Scout Blvd, Suite 400, Tampa, FL 33607-5724 | 2014-03-13 |
| 1891934402 | Gulfcoast Spine Institute, Pa | Neurological Surgery | 7101 Mariner Blvd, Brooksville, FL 34609-1048 | 2009-02-05 |
| 1639132616 | Gulfcoast Spine Institute, Pa | Neurological Surgery | 4211 W Boy Scout Blvd, Suite 400, Tampa, FL 33607-5724 | 2006-04-10 |
| Street Address |
4211 W BOY SCOUT BLVD SUITE 400 |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-5724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255316022 | Marc A Notrica | Anesthesiology | 4211 W Boy Scout Blvd, Suite 400, Tampa, FL 33607-5724 | 2005-12-14 |
| 1649729138 | Parag Choksi | Pharmacist | 4211 W Boy Scout Blvd, 675, Tampa, FL 33607-5724 | 2016-09-26 |
| 1013334655 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 4211 W Boy Scout Blvd, Suite 400, Tampa, FL 33607-5724 | 2014-03-20 |
| 1225454283 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 4211 W Boy Scout Blvd, Suite 400, Tampa, FL 33607-5724 | 2014-03-13 |
| 1356457675 | Anthony Paul Pribila | Physical Therapist | 4211 W Boy Scout Blvd, Suite 120, Tampa, FL 33607-5724 | 2006-08-21 |
| 1639132616 | Gulfcoast Spine Institute, Pa | Neurological Surgery | 4211 W Boy Scout Blvd, Suite 400, Tampa, FL 33607-5724 | 2006-04-10 |
| 1023089620 | Jay A Reichbach | Anesthesiology | 4211 W Boy Scout Blvd, Suite 400, Tampa, FL 33607-5724 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376079848 | Farhan Siddiqi, Md Pa | Orthopaedic Surgery | 701 N West Shore Blvd, Tampa, FL 33609-1122 | 2017-05-03 |
| 1881022903 | Spine Specialists of America LLC | Orthopaedic Surgery | 13035 W Linebaugh Ave Ste 101f, Tampa, FL 33626-4481 | 2013-10-29 |
| 1700100179 | Westchase Sports Medicine Orthopaedics, LLC. | Orthopaedic Surgery | 11301 Countryway Blvd, Tampa, FL 33626-2610 | 2010-03-15 |
| 1851453609 | Robbert C Nucci | Orthopaedic Surgery | 6322 Gunn Hwy, Tampa, FL 33625-4122 | 2006-12-15 |
| 1972062685 | 360 Ortho and Spine LLC | Orthopaedic Surgery | 11809 N Dale Mabry Hwy, Tampa, FL 33618-3505 | 2019-03-13 |
| 1154875284 | Tampa Back Institute Pllc | Orthopaedic Surgery | 6918 Gunn Hwy Ste C, Tampa, FL 33625-3853 | 2016-08-05 |
| 1194173260 | Joseph Spine, Pa | Orthopaedic Surgery | 2727 W Mlk Blvd, Ste 590, Tampa, FL 33607-6383 | 2016-05-31 |
| 1225434293 | National Medical Practices of Florida Pllc | Orthopaedic Surgery | 4730 N Habana Ave, Suite 300, Tampa, FL 33614-7163 | 2014-11-18 |
| 1013334655 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 4211 W Boy Scout Blvd, Suite 400, Tampa, FL 33607-5724 | 2014-03-20 |
| 1225454283 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 4211 W Boy Scout Blvd, Suite 400, Tampa, FL 33607-5724 | 2014-03-13 |
| Find all providers in TAMPA | ||||
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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.