SPINAL INTEGRATED MEDICINE LLC NPI 1689079709

NPI Information

  • NPI: 1689079709
  • Provider Name: SPINAL INTEGRATED MEDICINE, LLC
  • Classification: Physical Medicine & Rehabilitation - 2081S0010X
  • Specialization: Sports Medicine
  • Entity Type: Organization
  • Address: 324 CROSS ST
    PUNTA GORDA, FL
    ZIP 33950
  • Phone: (941) 205-2180

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NPI Details

SPINAL INTEGRATED MEDICINE, LLC is a sports medicine physical medicine rehabilitation in Punta Gorda, FL. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. SPINAL INTEGRATED MEDICINE, LLC NPI is 1689079709. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

324 CROSS ST
PUNTA GORDA, FL
ZIP 33950-828
Phone: (941) 205-2180
Fax: (941) 205-2181

The provider's authorized official is Kevin M. Van Nostrand .
The authorized official title is President and has the following contact phone number (941) 205-2180.

The enumeration date for this NPI number is 10/31/2014 and was last updated on 10/31/2014.

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
1225100000XPhysical TherapistNo
22081S0010XPhysical Medicine & RehabilitationSports MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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