ATLANTIC SPORT & SPINE CENTER (NPI# 1316388978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316388978 |
| Entity Type | Organization |
| Organization Name | ATLANTIC SPORT & SPINE CENTER |
| Practice Address |
3 Boulder Rock Dr Palm Coast FL 32137-8555 |
| Practice Telephone | 3864459444 |
| Practice Fax Number | 3864462971 |
| Mailing Telephone | 3864459444 |
| Mailing Fax Number | 3864462971 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |
| Authorized Official Name | MICHAEL G SANDBORN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3864459444 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
HCC9168 | FL | Ambulatory Health Care Facilities |
| Street Address |
3 BOULDER ROCK DR |
| City | PALM COAST |
| State | FL |
| Zip Code | 32137-8555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275506818 | Shariq Latif | Anesthesiology | 3 Boulder Rock Dr, Palm Coast, FL 32137-8555 | 2006-02-13 |
| 1275930257 | Georgia Pain Physicians PC | Chiropractor | 3 Boulder Rock Dr, Palm Coast, FL 32137-8555 | 2014-11-19 |
| 1376950790 | Felicia Wright | Massage Therapist | 3 Boulder Rock Dr, Palm Coast, FL 32137-8555 | 2014-07-17 |
| 1881036697 | Atlantic Sport & Spine Center LLC | Physical Medicine & Rehabilitation | 3 Boulder Rock Dr, Palm Coast, FL 32137-8555 | 2013-07-22 |
| 1609189968 | Frank C Bennett | Physical Therapist | 3 Boulder Rock Dr, Palm Coast, FL 32137-8555 | 2010-07-15 |
| 1487985479 | Affordable Health Center Inc | Chiropractor | 3 Boulder Rock Dr, Palm Coast, FL 32137-8555 | 2010-01-15 |
| 1154577708 | Michael Kranz | Physical Therapist | 3 Boulder Rock Dr, Palm Coast, FL 32137-8555 | 2008-08-14 |
| 1841202041 | George W Monlux Jr. | Family Medicine | 3 Boulder Rock Dr, Palm Coast, FL 32137-8555 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617505 | Palm Coast Alf Management LLC | Assisted Living Facility | 3830 Old Kings Road, Palm Coast, FL 32137 | 2020-07-29 |
| 1093324964 | Akilah Collins | Behavior Technician | 515 Palm Coast Pwky Sw, Suite 6, Palm Coast, FL 32137 | 2020-07-27 |
| 1750929477 | Jeanette Ann Stevens | Technician | 1 Lema Place, Palm Coast, FL 32137 | 2019-12-12 |
| 1649816919 | Patrick Meyer | Occupational Therapy Assistant | 9 Pine Cone Drive, Palm Coast, Palm Coast, FL 32137 | 2019-11-21 |
| 1689230385 | Coastal Care Medical Transport | Non-emergency Medical Transport (VAN) | #2b, 1 Hargrove Grde, Palm Coast, FL 32137 | 2019-05-17 |
| 1407357437 | Palm Coast Counseling, LLC | Counselor | 1 Hargrove Grade, Ste B-1, Palm Coast, FL 32137 | 2018-02-25 |
| 1679081459 | Lance J Langston | Behavior Technician | 2 Crosstie Ct, Palm Coast, FL 32137 | 2018-01-16 |
| 1407360712 | Hanna Mercedes Brown | Behavior Technician | 515 Palm Coast Pkwy, Suite 6/7, Palm Coast, FL 32137 | 2017-11-22 |
| 1760994511 | Sophia's Choice Hands That Help, LLC | Custodial Care Facility | 119 Bud Hollow Dr, Palm Coast, FL 32137 | 2017-11-02 |
| 1922543255 | Megan Katherine Dickerson | Physical Therapist | 250 Palm Coast Pkwy Ne Unit 209a, Palm Coast, FL 32137 | 2016-12-22 |
| Find all providers in zip 32137 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1558530600 | Memorial Hospital Flagler Inc. | Clinic/Center | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 | 2008-02-22 |
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| 1629699889 | Comprehensive Cardiovascular Institute, Pllc | Clinic/Center | 17 Davis Blvd Ste 313, Tampa, FL 33606-3438 | 2020-04-29 |
| Find all providers with the same taxonomy | ||||
| City | PALM COAST |
| Zip Code | 32137 |
Please comment or provide details below to improve the information on ATLANTIC SPORT & SPINE CENTER.
| 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.