MICROSPINE PHYSICIANS GROUP LLC (NPI# 1356396774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356396774 |
| Entity Type | Organization |
| Organization Name | MICROSPINE PHYSICIANS GROUP LLC |
| Practice Address |
101 Microspine Way Defuniak Springs FL 32435-6323 |
| Practice Telephone | 8508926001 |
| Practice Fax Number | 8508924212 |
| Mailing Telephone | 8508926001 |
| Mailing Fax Number | 8508924212 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-10-09 |
| Authorized Official Name | ANGEL D BARBER (ADMINISTRATOR) |
| Authorized Official Telephone | 8508926001 |
| Is Organization Subpart | Y |
| Parent Organization Name | MICROSPINE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS PROVIDER (NONPAR) NU | 34912 | 01 |
| Street Address |
101 MICROSPINE WAY |
| City | DEFUNIAK SPRINGS |
| State | FL |
| Zip Code | 32435-6323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306891718 | Microspine Surgery Center Defuniak Springs LLC | Clinic/Center | 101 Microspine Way, Defuniak Springs, FL 32435-6323 | 2006-05-23 |
| 1770818601 | Institute of Medical Excellence | Nurse Anesthetist, Certified Registered | 101 Microspine Way, Defuniak Springs, FL 32435 | 2009-10-09 |
| 1972748697 | Microspine Orthopedic Physicians LLC | Orthopaedic Surgery | 101 Microspine Way, Defuniak Springs, FL 32435-6323 | 2008-12-09 |
| 1093760449 | Anesthesia Group of Microspine LLC | Anesthesiology | 101 Microspine Way, Defuniak Springs, FL 32435-6323 | 2006-05-24 |
| 1366497646 | Emerald Coast Medical Services Inc | Orthopaedic Surgery | 101 Microspine Way, Defuniak Springs, FL 32435-6323 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477098267 | Luz Zondlo | Counselor | 3686 Us Highway 331s, Chautauqua Offices of Psychotherapy & Evaluation, Defuniak Springs, FL 32435 | 2017-01-03 |
| 1427445477 | Jacob Urda | Family Medicine | 1045 Hwy 331 South Suite D & E, Defuniak Springs, FL 32435 | 2015-04-16 |
| 1982728929 | Stone Surgery Clinic | Surgery | 962 Us 331 South, Defuniak Springs, FL 32435 | 2007-03-16 |
| 1003999756 | Charles Gordon Stevenson IIi | Optometrist | 770 Hwy 331 South, Suite 1, Defuniak Springs, FL 32435 | 2006-10-23 |
| 1609971910 | Solomon Reodica | Surgery | 4415 Highway 331 Soutn, Defuniak Springs, FL 32435 | 2006-09-13 |
| 1396857223 | Pamela Kay Stuckey | Social Worker | 3686 Us Hwy 331 S, Cope Center Inc, Defuniak Springs, FL 32435 | 2006-08-31 |
| 1144332065 | Michele Anne Gilmore-rule | Social Worker | 3686 Us Hwy 331 South, Cope Center Inc, De Funiak Springs, FL 32435 | 2006-08-31 |
| 1205857513 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1030 Us Highway 331 South, Suite G, Defuniak Springs, FL 32435 | 2006-07-21 |
| 1912932153 | George Lester Mueller | Surgery | 2800 S Seacrest, Suite 200, Boynton Beach, FL 32435 | 2006-07-12 |
| 1679525463 | Timothy W Walker | Emergency Medicine | 4413 Us Hwy 331 South, Defuniak Springs, FL 32435 | 2006-05-17 |
| Find all providers in zip 32435 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1164033718 | Greenacres Health & Rehab LLC | Internal Medicine | 4010 S 57th Ave Ste 101, Greenacres, FL 33463-4301 | 2020-08-16 |
| 1205218070 | Atlas Medical and Orthopedics | Internal Medicine | 6864 Forest Hill Blvd, Suite B, Greenacres, FL 33413-3339 | 2015-06-29 |
| 1477854370 | Medfit, LLC | Internal Medicine | 9510 Corkscrew Palms Cir Ste 1, Estero, FL 33928-3308 | 2010-11-08 |
| 1447338587 | Kenneth P Barnes | Internal Medicine | The University of Miami Sports Medicine Institute, 5555 Ponce De Leon Blvd., 3rd Floor, Coral Gables, FL 33146 | 2006-11-02 |
| 1760429989 | Chris Kunis | Internal Medicine | 2102 Sw 20th Pl Bldg 100, Ocala, FL 34471-0856 | 2006-05-31 |
| 1932731684 | Shane Thomas Stockelman | Internal Medicine | 3334 Capital Medical Blvd, Tallahassee, FL 32308-8405 | 2020-02-11 |
| 1700434537 | Tri-county Regenerative Medicine, LLC | Internal Medicine | 1848 N Nob Hill Rd, Plantation, FL 33322-6548 | 2019-08-26 |
| 1730575044 | Reza Alavi | Internal Medicine | 13020 N Telecom Pkwy, Temple Terrace, FL 33637-0915 | 2015-04-13 |
| 1780076695 | Boca Sports Therapy Inc | Internal Medicine | 851 Meadows Rd, Ste 212, Boca Raton, FL 33486-2348 | 2015-03-02 |
| 1962799213 | Pga Chiropractic Health Center Pa | Internal Medicine | 10800 N Military Trl, Ste # 111, Palm Beach Gardens, FL 33410-6500 | 2011-07-07 |
| Find all providers with the same taxonomy | ||||
| City | DEFUNIAK SPRINGS |
| Zip Code | 32435 |
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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.