INTERVENTIONAL SPINE INSTITUTE OF FLORIDA


Address: 12301 Lake Underhill Rd, Suite 121, Orlando, FL 32828-4508
Phone: 3217330064

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208100000X Physical Medicine & Rehabilitation 60952 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

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 Provider/Organization Names

Other Name Type Code
Spine, Orthopedics and Rehabilitation Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 12301 LAKE UNDERHILL RD
SUITE 121
City ORLANDO
State FL
Zip Code 32828-4508

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208100000X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City ORLANDO
Zip Code 32828

Improve Information

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Dataset Information

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.

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