INTERVENTIONAL SPINE INSTITUTE OF FLORIDA (NPI# 1194134916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194134916 |
Entity Type | Organization |
Organization Name | INTERVENTIONAL SPINE INSTITUTE OF FLORIDA |
Other Organization Name | SPINE, ORTHOPEDICS AND REHABILITATION |
Practice Address |
12301 Lake Underhill Rd Suite 121 Orlando FL 32828-4508 |
Mailing Address |
308 S Harbor City Blvd Suite A Melbourne FL 32901-1500 |
Practice Telephone | 3217330064 |
Practice Fax Number | 3217337970 |
Mailing Telephone | 3217330064 |
Mailing Fax Number | 3217337970 |
Enumeration Date | 2014-08-06 |
Last Update Date | 2015-05-19 |
Authorized Official Name | DR. BRIAN C DOWDELL (OWNER/CEO/PRESIDENT) |
Authorized Official Telephone | 3217330064 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation | 60952 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | MEDICAL LICENSE | ME76009 | 01 |
FL | NPI-DME-MELBOURNE | 1326453143 | 01 |
FL | NPI INDIVIDUAL | 1639101744 | 01 |
FL | MEDICARE GROUP | K5708 | 01 |
FL | CAQH | 10708014 | 01 |
FL | NPI GROUP | 1225060338 | 01 |
FL | DEA | BD4666965 | 01 |
Other Name | Type Code |
---|---|
Spine, Orthopedics and Rehabilitation | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386053106 | Interventional Spine Institute of Florida | Specialist | 389 Commerce Pkwy, Suite 120, Rockledge, FL 32955-4202 | 2014-08-06 |
1093123127 | Interventional Spine Institute of Florida | Physical Medicine & Rehabilitation | 1315 S International Pkwy, Suite 1111, Lake Mary, FL 32746-1407 | 2014-08-01 |
1225060338 | Interventional Spine Institute of Florida | Physical Medicine & Rehabilitation | 308 S Harbor City Blvd, Suite A, Melbourne, FL 32901-1500 | 2006-07-07 |
Street Address |
12301 LAKE UNDERHILL RD SUITE 121 |
City | ORLANDO |
State | FL |
Zip Code | 32828-4508 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174513121 | Natasha A. Carby-joseph | Speech-Language Pathologist | 12301 Lake Underhill Rd, Ste 260, Orlando, FL 32828-4508 | 2005-10-21 |
1801364575 | Pharma Hair Unit LLC | Specialist | 12301 Lake Underhill Rd, Orlando, FL 32828-4508 | 2018-11-11 |
1356825061 | Frances L Febo Mendez | Specialist/Technologist | 12301 Lake Underhill Rd, Ste 260, Orlando, FL 32828-4508 | 2018-09-18 |
1023528817 | Lauren Howard Sobel | Physical Therapist | 12301 Lake Underhill Rd, Orlando, FL 32828-4508 | 2017-10-05 |
1629525480 | Coral Etshman | Nurse Practitioner | 12301 Lake Underhill Rd, Orlando, FL 32828-4508 | 2016-09-08 |
1679945679 | Therapy Essentials Inc | Early Intervention Provider Agency | 12301 Lake Underhill Rd, Ste 260, Orlando, FL 32828-4508 | 2015-10-29 |
1427429109 | Michelle Chacon | Speech-Language Pathologist | 12301 Lake Underhill Rd, Ste 260, Orlando, FL 32828-4508 | 2015-10-07 |
1285026310 | Respiratory Kinect, Inc | Home Health | 12301 Lake Underhill Rd, Suite 265, Orlando, FL 32828-4508 | 2015-02-26 |
1093110660 | 22 Health Group, LLC | Chiropractor | 12301 Lake Underhill Rd, Suite 254, Orlando, FL 32828-4508 | 2014-10-25 |
1619210267 | Tracie A Panter | Nurse Practitioner | 12301 Lake Underhill Rd, Suite 106, Orlando, FL 32828-4508 | 2013-04-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578057501 | Antonia Mejia | Social Worker | 15260 Sugargrove Way, Orlando, FL 32828 | 2018-06-22 |
1871087692 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 3502 Avalon Park East Blvd, Orlando, FL 32828 | 2018-06-15 |
1386169738 | Ashley Nicole Wilkins | Specialist/Technologist | 2653 Wembleycross Way, Orlando, FL 32828 | 2017-08-07 |
1558812388 | Porta Nova Homemaker Companion Services, LLC | In Home Supportive Care | 515 Spring River Drive, Orlando, FL 32828 | 2016-10-17 |
1467908715 | Alexander Duque | Dentist | 785 N Alafaya Trail, Orlando, FL 32828 | 2016-08-28 |
1568819886 | Nicole Kircher | Behavioral Analyst | 757 Sterling Springs Rd, Orlando, FL 32828 | 2016-05-17 |
1477908556 | Sandra Maria Garcia | Speech-Language Pathologist | 4961 Atwood Dr, Orlando, FL 32828 | 2016-04-26 |
1821473380 | Sandra Ware | Physical Therapy Assistant | 498 Palm Springs Dr, Ste 345, Orlando, FL 32828 | 2015-07-27 |
1649674367 | Lisa M Keough | Occupational Therapist | 447 Bella Vida Blvd., Creative Speech Solutions & Therapy, Orlando, FL 32828 | 2014-10-09 |
1336549781 | Melissa Cossu | Developmental Therapist | 14428 Turning Leaf Dr, Orlando, FL 32828 | 2014-09-03 |
Find all providers in zip 32828 |
Taxonomy Code | 208100000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538709407 | Andres E Bracho Sr. | Physical Medicine & Rehabilitation | 12701 S John Young Pkwy Ste 216, Orlando, FL 32837-3423 | 2020-01-08 |
1215588926 | Advanced Rehabilitation Specialists, LLC | Physical Medicine & Rehabilitation | 1 S Eola Dr, Orlando, FL 32801-2151 | 2019-09-24 |
1538625926 | Fairlight Burke-pallotta | Physical Medicine & Rehabilitation | 2102 Shaffer Pl, Orlando, FL 32806-3318 | 2019-02-11 |
1528595980 | Chelsea Bobola | Physical Medicine & Rehabilitation | 2531 N Alafaya Trl Apt 59, Orlando, FL 32826-3954 | 2017-05-16 |
1174982169 | Advantacare Multi-specialty Group, LLC | Physical Medicine & Rehabilitation | 815 Good Homes Rd, Orlando, FL 32818-6628 | 2016-02-18 |
1922404243 | Rehabilitation and Fitness Consultants, Pllc | Physical Medicine & Rehabilitation | 3208 E Colonial Dr Unit 299, Orlando, FL 32803-5127 | 2014-11-13 |
1528461225 | Erehab LLC | Physical Medicine & Rehabilitation | 13136 Woodford St, Orlando, FL 32832 | 2014-10-08 |
1720351034 | Milton De Brun | Physical Medicine & Rehabilitation | 2740 Maitland Crossing Way Apt 2203, Orlando, FL 32810-7130 | 2012-02-16 |
1669749396 | Park Lake Physical Medicine, LLC | Physical Medicine & Rehabilitation | 2206 E Colonial Dr, Orlando, FL 32803-4912 | 2011-11-23 |
1194006981 | Atlantic Rehabilitation Medicine Associates Pa | Physical Medicine & Rehabilitation | 2501 N Orange Ave Ste 505, Orlando, FL 32804-4674 | 2011-09-07 |
Find all providers in ORLANDO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.