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INTEGRITY SPINE AND ORTHOPEDICS LLC NPI 1801457296


NPI Information

NPI: 1801457296
Provider Name: INTEGRITY SPINE AND ORTHOPEDICS LLC
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

CLIA Number: 10D2192155

Address:
14785 OLD SAINT AUGUSTINE RD STE 100
JACKSONVILLE, FL
ZIP 32258
Phone: (904) 456-0017
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INTEGRITY SPINE AND ORTHOPEDICS LLC is an orthopaedic surgery of the spine orthopaedic surgery in Jacksonville, FL. The provider is 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. INTEGRITY SPINE AND ORTHOPEDICS LLC NPI is 1801457296. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14785 OLD SAINT AUGUSTINE RD STE 100
JACKSONVILLE, FL
ZIP 32258-407
Phone: (904) 456-0017
Fax: (904) 456-0018

The provider's authorized official is Matthew Terry .
The authorized official title is President/coo and has the following contact phone number (904) 456-0017.

The CLIA number assigned to this NPI record is 10D2192155 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/26/2019 and was last updated on 3/21/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryNo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineYes
3208600000XSurgeryNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
5363L00000XNurse PractitionerNo
6363LA2200XNurse PractitionerAdult HealthNo

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.