PHYSICIANS BACK & NECK CENTER ORLANDO INC (NPI# 1851718563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851718563 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS BACK & NECK CENTER ORLANDO INC |
| Practice Address |
5979 Vineland Rd Suite 210 Orlando FL 32819-7800 |
| Practice Telephone | 4074129226 |
| Practice Fax Number | 4076502888 |
| Mailing Telephone | 4074129226 |
| Mailing Fax Number | 4076502888 |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |
| Authorized Official Name | MS. YINA D FRASURE (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 4074129226 |
| Authorized Official Credential | L.M.T |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
ME69749 | FL | Ambulatory Health Care Facilities |
| Street Address |
5979 VINELAND RD SUITE 210 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32819-7800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093700965 | Vuong B Nguyen | Orthopaedic Surgery | 5979 Vineland Rd, Ste 101, Orlando, FL 32819-7800 | 2005-09-15 |
| 1538605266 | Iliana E Mastrapa Corominas | Nurse Practitioner | 5979 Vineland Rd, Orlando, FL 32819-7800 | 2017-01-19 |
| 1851745368 | Kettia Cadet Cherenfant | Nurse Practitioner | 5979 Vineland Rd, Ste 111, Orlando, FL 32819-7855 | 2016-04-20 |
| 1285010835 | Tachaeana Antoinette Anderson | Registered Nurse | 5979 Vineland Rd, Suite 109, Orlando, FL 32819-7800 | 2015-08-06 |
| 1376936328 | Christina J Gonzalez | Nurse Practitioner | 5979 Vineland Rd, Orlando, FL 32819-7800 | 2015-03-16 |
| 1699110783 | Grace Dental, P.a. | Clinic/Center | 5979 Vineland Rd, Suite 205, Orlando, FL 32819-7800 | 2013-05-03 |
| 1437593183 | A2z Medical Services, LLC | Pulmonary Function Technologist | 5979 Vineland Rd, Orlando, FL 32819-7800 | 2013-04-24 |
| 1447598982 | Psych Pointe of Florida Plc | Psychiatry & Neurology | 5979 Vineland Rd, Ste 109, Orlando, FL 32819-7800 | 2013-01-17 |
| 1225399348 | Family Medicine of Orlando Pllc | Non-Pharmacy Dispensing Site | 5979 Vineland Rd, Suite 111, Orlando, FL 32819-7800 | 2012-06-05 |
| 1922381474 | Orlando Regional All Care Center Inc | Rehabilitation Unit | 5979 Vineland Rd, Orlando, FL 32819-7800 | 2011-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356842 | Crew Community Health, Inc | Internal Medicine | 8601 Commodity Circle, Orlando, FL 32819 | 2019-10-03 |
| 1437704756 | Byron Martin Randolph | Physical Therapist | 7932 Sand Lake Rd Ste 203, Orlando, FL 32819 | 2019-08-04 |
| 1225536303 | Alliance Dme LLC | Durable Medical Equipment & Medical Supplies | 7031 Grand National Dr Ste 106b, Orlando, FL 32819 | 2018-01-24 |
| 1417465584 | Marckenson Gerson Janvier | Nurse Practitioner | 9401 Turkey Lake Rd, Orlando, FL 32819 | 2018-01-11 |
| 1871003442 | Sabeen Hasni | Pharmacist | 2354 Commerce Park Drive Ste 100, Orlando, FL 32819 | 2017-10-09 |
| 1902343775 | Darleen Walker | Occupational Therapist | 7243 Della Dr., Orlando, FL 32819 | 2017-01-31 |
| 1215483565 | Krista Richardson | Physical Therapist | 9102 Universal Blvd., Orlando, FL 32819 | 2016-08-28 |
| 1841646536 | Kiara Serrano | Social Worker | 7509 Pinemount Dr, Orlando, FL 32819 | 2016-05-11 |
| 1659749752 | Angels for Kids On-call | Case Management | 7550 Future Drive Suite 105, Orlando, FL 32819 | 2015-09-04 |
| 1932589462 | Krista Jean Cain | Counselor | 7758 Wallace Rd Ste Vi, Orlando, FL 32819 | 2015-05-29 |
| Find all providers in zip 32819 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1134673130 | Probody Sports Performance | Clinic/Center | 4798 N Orange Blossom Trl, Orlando, FL 32810-1601 | 2016-08-08 |
| 1689025660 | Elite Mobile Labs, LLC | Clinic/Center | 5824 Lake Pointe Village Cir, 501, Orlando, FL 32822-3570 | 2016-06-30 |
| 1649639576 | Serenity's Diabetic Primary Care | Clinic/Center | 6000 Wolf Rd, Orlando, FL 32808-4259 | 2016-02-20 |
| 1780073353 | American Allergy Inc. | Clinic/Center | 2423 S Orange Ave, Suite 181, Orlando, FL 32806-4543 | 2015-01-20 |
| 1649690322 | Csi Pediatric Services, Inc. | Clinic/Center | 7054 W Colonial Dr, Orlando, FL 32818-6739 | 2014-04-22 |
| 1629494471 | Prestige Medical Services & Rehab LLC | Clinic/Center | 715 N Ferncreek Ave Ste B, Orlando, FL 32803-4108 | 2014-03-17 |
| 1134544612 | Orlando Family Wellness | Clinic/Center | 11883 Gennaro Ln, Orlando, FL 32827-7134 | 2014-02-20 |
| 1053755793 | Prestige Medical Services | Clinic/Center | 2614 E Colonial Dr Ste 400-5, Orlando, FL 32803-5029 | 2013-04-24 |
| 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.