SPINE AND NEUROSURGICAL SPECIALISTS OF SOUTH FLORIDA LLC (NPI# 1194199745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194199745 |
Entity Type | Organization |
Organization Name | SPINE AND NEUROSURGICAL SPECIALISTS OF SOUTH FLORIDA LLC |
Practice Address |
2047 Palm Beach Lakes Blvd Ste 100 West Palm Beach FL 33409-6522 |
Practice Telephone | 5615070800 |
Mailing Telephone | 5615070800 |
Enumeration Date | 2015-11-19 |
Last Update Date | 2015-11-19 |
Authorized Official Name | JONATHAN CUTLER (PRESIDENT) |
Authorized Official Telephone | 5613129336 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207T00000X | Neurological Surgery | ME123443 | FL | Allopathic & Osteopathic Physicians |
N | 207X00000X | Orthopaedic Surgery | ME0073142 | FL | Allopathic & Osteopathic Physicians |
N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
ME0053603 | FL | Allopathic & Osteopathic Physicians |
N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
ME0073142 | FL | Allopathic & Osteopathic Physicians |
N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
ME0073142 | FL | Allopathic & Osteopathic Physicians |
N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
ME0053603 | FL | Allopathic & Osteopathic Physicians |
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
ME114075 | FL | Allopathic & Osteopathic Physicians |
Street Address |
2047 PALM BEACH LAKES BLVD STE 100 |
City | WEST PALM BEACH |
State | FL |
Zip Code | 33409-6522 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992740674 | 2047 Palm Beach Lakes Partners LLC | Clinic/Center | 2047 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-6500 | 2006-06-18 |
1194260273 | Melanie Simone Robinson | Nurse Practitioner | 2047 Palm Beach Lakes Blvd, Suite 200, West Palm Beach, FL 33409-6522 | 2016-12-28 |
1710344510 | Spine Specialists of South Florida LLC | Durable Medical Equipment & Medical Supplies | 2047 Palm Beach Lakes Blvd, Ste 100, West Palm Beach, FL 33409-6522 | 2016-01-25 |
1033434485 | Central Palm Beach Surgery Center, L.t.d. | Clinic/Center | 2047 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-6522 | 2010-03-29 |
1003098088 | Jane E Bistline Md Pa | Specialist | 2047 Palm Beach Lakes Blvd, Suite 300, West Palm Beach, FL 33401-6500 | 2007-11-30 |
1447355789 | Jane Bistline | Specialist | 2047 Palm Beach Lakes Blvd, Suite 300, West Palm Beach, FL 33409-6500 | 2006-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154928000 | Gerard Joseph Valerius Jr. | Behavior Technician | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-10-05 |
1295342277 | Stela Karkatselos | Nurse Practitioner | 2700 Palm Beach Lakes Blvd., West Palm Beach, FL 33409 | 2020-09-24 |
1831703974 | Daylin Gonzalez | Behavior Technician | 1818 S.australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-09-05 |
1518582436 | All-most Family, Inc | In Home Supportive Care | 4047 Okeechobee Blvd., Suite 110, West Palm Beach, FL 33409 | 2020-06-16 |
1750911285 | Denisse Ramirez | Technician, Other | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-01-23 |
1558915009 | Hess Massage and Fitness LLC. | Massage Therapist | 2090 Palm Beach Lakes Blvd #900, West Palm Beach, FL 33409 | 2019-08-01 |
1184195638 | Tyrone Woods | Developmental Therapist | 4287 Lake Lucerne Circle, West Palm Beach, FL 33409 | 2018-12-10 |
1700352119 | Julio Cesar Lugo Sr. | Counselor | 4100 Bear Lakes Ct. Building 14, Apt. #108, West Palm Beach, FL 33409 | 2018-10-23 |
1073009353 | Kaitlyn Rose Green | Physician Assistant | 560 Village Blvd Suite #150, West Palm Beach, FL 33409 | 2018-07-10 |
1063901247 | Dominique J Carn | Technician, Other | 42000 Community Dr, Apt 2211, West Palm Beach, FL 33409 | 2018-05-03 |
Find all providers in zip 33409 |
Taxonomy Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
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. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154454007 | Michael A Gleiber | Orthopaedic Surgery | 1555 Palm Beach Lakes Boulevard, Suite 950, West Palm Beach, FL 33401 | 2007-03-13 |
1093029480 | Michael A. Gleiber, M.d., P.a. | Orthopaedic Surgery | 1555 Palm Beach Lakes Boulevard, Suite 950, West Palm Beach, FL 33401 | 2010-07-28 |
1215940838 | Harold G Bach | Orthopaedic Surgery | 8200 Okeechobee Blvd, West Palm Beach, FL 33411 | 2006-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386293215 | Citrus Spine Institute LLC | Orthopaedic Surgery | 1409 Kingsley Ave Ste 9f, Orange Park, FL 32073-4579 | 2019-09-04 |
1194383638 | Ortho Florida, LLC | Orthopaedic Surgery | 8190 S Jog Rd Ste 101, Boynton Beach, FL 33472-2911 | 2019-05-30 |
1821571175 | Orthopedic Spine Solutions Corp | Orthopaedic Surgery | 3852 Sheridan St, Hollywood, FL 33021-3634 | 2018-09-12 |
1194223461 | Select Health of Fl, LLC | Orthopaedic Surgery | 2 S Biscayne Blvd Ste 3760a, Miami, FL 33131-1815 | 2018-01-31 |
1568960839 | Spine Cin of Jacksonville LLC | Orthopaedic Surgery | 1301 Riverplace Blvd Ste 800a, Jacksonville, FL 32207-9047 | 2018-01-31 |
1912405283 | Spine Cin of Naples LLC | Orthopaedic Surgery | 8831 Business Park Dr Ste 301a, Fort Myers, FL 33912-2510 | 2018-01-31 |
1386142644 | Joint Replacement Cin of Naples LLC | Orthopaedic Surgery | 8831 Business Park Dr Ste 301b, Fort Myers, FL 33912-2510 | 2018-01-31 |
1366940140 | Joint Replacement Cin of Orlando LLC | Orthopaedic Surgery | 5401 S Kirkman Rd Ste 310b, Orlando, FL 32819-7940 | 2018-01-26 |
1811495690 | Joint Replacement Cin of Miami LLC | Orthopaedic Surgery | 2 S Biscayne Blvd Ste 3760b, Miami, FL 33131-1815 | 2018-01-26 |
1689182362 | Fss Keys LLC | Orthopaedic Surgery | 1111 12th St Ste 108, Key West, FL 33040-4087 | 2018-01-17 |
Find all providers with the same taxonomy |
City | WEST PALM BEACH |
Zip Code | 33409 |
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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.