SPINE AND ORTHOPAEDIC SPECIALISTS PLLC NPI 1487743563

NPI Information

  • NPI: 1487743563
  • Provider Name: SPINE AND ORTHOPAEDIC SPECIALISTS, PLLC
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • CLIA Number: 10D1104440
  • Address: 2040 SHORT AVE
    ODESSA, FL
    ZIP 33556
  • Phone: (727) 372-9922

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NPI Details

SPINE AND ORTHOPAEDIC SPECIALISTS, PLLC is an orthopaedic surgery in Odessa, FL. The provider is 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. SPINE AND ORTHOPAEDIC SPECIALISTS, PLLC NPI is 1487743563. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2040 SHORT AVE
ODESSA, FL
ZIP 33556-427
Phone: (727) 372-9922
Fax: (727) 372-8477

The provider's authorized official is Farhan Naveed Siddiqi .
The authorized official title is Partner and has the following contact phone number (727) 372-9922.

The CLIA number assigned to this NPI record is 10D1104440 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 4/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineME96135FLORIDANo
2207X00000XOrthopaedic SurgeryME96135FLORIDANo
3207X00000XOrthopaedic SurgeryME96330FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16079770002MEDICARE NSCFLORIDA
2ME96330OTHERFLORIDAPRESIDENT MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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