SOUTH PALM ORTHOSPINE INSTITUTE (NPI# 1639364912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639364912 |
| Entity Type | Organization |
| Organization Name | SOUTH PALM ORTHOSPINE INSTITUTE |
| Practice Address |
2900 N Military Trl #241 Boca Raton FL 33431-6365 |
| Mailing Address |
6110 W Atlantic Ave Unit A Delray Beach FL 33484-8405 |
| Practice Telephone | 5617425959 |
| Practice Fax Number | 5617320553 |
| Mailing Telephone | 5617425959 |
| Mailing Fax Number | 5617320553 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-24 |
| Authorized Official Name | STEWART EIDELSON (OWNER) |
| Authorized Official Telephone | 5617425959 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH PALM ORTHOSPINE INSTITUTE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
ME55593 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730375346 | South Palm Orthospine Institute | Orthopaedic Surgery | 8198 Jog Rd, Suite 100, Boynton Beach, FL 33472-2998 | 2007-09-18 |
| 1598893885 | South Palm Orthospine Institute | Orthopaedic Surgery | 15300 Jog Rd, Suite 107-108, Delray Beach, FL 33446-2164 | 2007-03-01 |
| Street Address |
2900 N MILITARY TRL #241 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33431-6365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578556759 | Boca Nephrology Pa | Internal Medicine | 2900 N Military Trl, Ste 195, Boca Raton, FL 33431-6365 | 2005-08-24 |
| 1932687506 | William Tyson Young | Physical Therapist | 2900 N Military Trl, Boca Raton, FL 33431-6365 | 2018-08-05 |
| 1245770130 | Caitlyn Deming | Nurse Practitioner | 2900 N Military Trl, Suite 245, Boca Raton, FL 33431-6365 | 2017-02-27 |
| 1295274900 | Fox Physical Therapy Inc | Physical Therapist | 2900 N Military Trl, Suite 220, Boca Raton, FL 33431-6365 | 2017-02-14 |
| 1437602455 | Amy Steffey | Technician | 2900 N Military Trl, Suite243, Boca Raton, FL 33431-6365 | 2016-07-26 |
| 1457742371 | Metcare of Boca Raton | Family Medicine | 2900 N Military Trl, Suite 201, Boca Raton, FL 33431-6365 | 2015-02-13 |
| 1417356197 | Robert Joseph Signorello | Physical Therapist | 2900 N Military Trl, Suite 220, Boca Raton, FL 33431-6365 | 2014-08-19 |
| 1417365701 | Alex Wasserman | Chiropractor | 2900 N Military Trl, Suite #220, Boca Raton, FL 33431-6365 | 2014-07-30 |
| 1871919142 | Lynn R. Lampert Ph.d LLC | Psychologist | 2900 N Military Trl, St. 165, Boca Raton, FL 33431-6365 | 2014-03-11 |
| 1821425661 | Interventional Rehabilitation of South Florida, Inc | Anesthesiology | 2900 N Military Trl, Suite 230, Boca Raton, FL 33431-6365 | 2013-10-10 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
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| 1407477821 | Paramount Medical Specialists | Preventive Medicine | 5550 Glades Road Suite, Ste 500, #1024, Boca Raton, FL 33431 | 2020-04-27 |
| 1497398358 | Dr Beverly Pedroche Inc | Psychologist | 4400 N, Federal Highway, Suite 210-48, Boca Raton, FL 33431 | 2019-10-23 |
| 1649829656 | William I Browning | Psychologist | 4400 North Federal Highway Suite #210, Boca Raton, FL 33431 | 2019-09-11 |
| 1275188898 | East Boca Pharmacy LLC | Pharmacy | 4800 Nw 2nd Ave, Suite 3, Boca Raton, FL 33431 | 2019-08-09 |
| 1790330504 | Connected Warriors | Psychologist | 950 Communications Ave Suite 115, Boca Raton, FL 33431 | 2019-08-08 |
| 1831652734 | Limitless Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 2263 Nw Boca Blvd, Ste 201, Boca Raton, FL 33431 | 2019-04-09 |
| 1659841211 | Tlc Medical Solutions | Durable Medical Equipment & Medical Supplies | 4800 Nw Boca Raton Blvd Suite 5, Boca Raton, FL 33431 | 2018-11-27 |
| 1750872545 | Sunstate Physicians LLC | Internal Medicine | 2234 N Federal Hwy Ste 531, Boca Raton, FL 33431 | 2018-05-29 |
| Find all providers in zip 33431 | ||||
| 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 |
|---|---|---|---|---|
| 1003115551 | William Munoz IIi | Orthopaedic Surgery | 660 Glades Rd Ste 460, Boca Raton, FL 33431-6469 | 2011-03-23 |
| 1861507709 | Leon Abram Md Pa | Orthopaedic Surgery | 950 Nw 9th Ct, Boca Raton, FL 33486-2214 | 2006-08-20 |
| 1295916468 | Florida Back Institute Inc | Orthopaedic Surgery | 1905 Clint Moore Rd, Suite 309, Boca Raton, FL 33496-2661 | 2007-11-16 |
| 1811183676 | Jeffrey C Fernyhough | Orthopaedic Surgery | 1905 Clint Moore Rd, Suite 309, Boca Raton, FL 33496-2658 | 2007-09-14 |
| 1295921054 | Nathaniel A Lowen | Orthopaedic Surgery | 1905 Clint Moore Rd, Suite 309, Boca Raton, FL 33496-2658 | 2007-09-14 |
| 1972798379 | Robert Patrick Norton | Orthopaedic Surgery | 670 Glades Rd, Suite 200, Boca Raton, FL 33431-6461 | 2007-09-09 |
| 1427100221 | Ashish K Sahai | Orthopaedic Surgery | 9325 Glades Rd, Suite 205, Boca Raton, FL 33434-3988 | 2007-01-18 |
| 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 | BOCA RATON |
| Zip Code | 33431 |
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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.