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CELEBRATION MINIMALLY INVASIVE SPINE INSTITUTE NPI 1821485608


NPI Information

NPI: 1821485608
Provider Name: CELEBRATION MINIMALLY INVASIVE SPINE INSTITUTE
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

CLIA Number: 10D2111318

Address:
400 CELEBRATION PL
SUITE A280
CELEBRATION, FL
ZIP 34747
Phone: (407) 566-4411
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CELEBRATION MINIMALLY INVASIVE SPINE INSTITUTE is an orthopaedic surgery of the spine orthopaedic surgery in Celebration, 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. CELEBRATION MINIMALLY INVASIVE SPINE INSTITUTE NPI is 1821485608. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 CELEBRATION PL
SUITE A280
CELEBRATION, FL
ZIP 34747-970
Phone: (407) 566-4411

The provider's authorized official is Faissal Zahrawi .
The authorized official title is President and has the following contact phone number (407) 566-4411.

The CLIA number assigned to this NPI record is 10D2111318 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/20/2015 and was last updated on 4/20/2015.


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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineME88360FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
152114MEDICARE UPINFLORIDA

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: 11/14/2023

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