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FLORIDA SPINE CENTER PA NPI 1841315983


NPI Information

NPI: 1841315983
Provider Name: FLORIDA SPINE CENTER PA

Doing Business As: FLORIDA SPINE CENTER PA

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 10D1100079

Address:
2030 DREW ST
CLEARWATER, FL
ZIP 33765
Phone: (727) 462-5582
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FLORIDA SPINE CENTER PA is a specialist in Clearwater, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FLORIDA SPINE CENTER PA NPI is 1841315983. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Florida Spine Center Pa.

The provider's business location address is:

2030 DREW ST
CLEARWATER, FL
ZIP 33765-117
Phone: (727) 462-5582
Fax: (727) 462-5583

The provider's authorized official is Dennis Marshall Lox .
The authorized official title is President and has the following contact phone number (727) 462-5582.

The CLIA number assigned to this NPI record is 10D1100079 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 7/20/2011.


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
1174400000XSpecialist57943FLORIDAYes

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
110612MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
2C18577MEDICARE 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

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.