PRIMO SPINE LLC NPI 1669359782

NPI Information

  • NPI: 1669359782
  • Provider Name: PRIMO SPINE LLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 1805 MAGUIRE RD STE 135
    WINDERMERE, FL
    ZIP 34786
  • Phone: (407) 217-6969

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NPI Details

PRIMO SPINE LLC is a chiropractor in Windermere, FL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. PRIMO SPINE LLC NPI is 1669359782. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1805 MAGUIRE RD STE 135
WINDERMERE, FL
ZIP 34786-924
Phone: (407) 217-6969
Fax: (407) 217-6971

The provider's authorized official is Jae Suk Oh .
The authorized official title is Owner/chiropractic Physician and has the following contact phone number (407) 217-6969.

The enumeration date for this NPI number is 8/20/2025 and was last updated on 8/20/2025.

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
1111N00000XChiropractorYes

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: 11/21/2025

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