GULFCOAST SPINE INSTITUTE, PA (NPI# 1659980654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659980654 |
| Entity Type | Organization |
| Organization Name | GULFCOAST SPINE INSTITUTE, PA |
| Practice Address |
439 S Florida Ave Ste 300 Lakeland FL 33801-5212 |
| Mailing Address |
4211 W Boy Scout Blvd Ste 400 Tampa FL 33607-5766 |
| Practice Telephone | 8134432108 |
| Practice Fax Number | 8134438255 |
| Mailing Telephone | 8134432108 |
| Mailing Fax Number | 8134438255 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |
| Authorized Official Name | JAMES J RONZO (PRESIDENT) |
| Authorized Official Telephone | 8134432108 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| BioSpine Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174040828 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 3900 Millenia Blvd Ste 300, Orlando, FL 32839-6407 | 2017-08-24 |
| 1013334655 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 4211 W Boy Scout Blvd, Suite 400, Tampa, FL 33607-5724 | 2014-03-20 |
| 1225454283 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 4211 W Boy Scout Blvd, Suite 400, Tampa, FL 33607-5724 | 2014-03-13 |
| 1811125735 | Gulfcoast Spine Institute, Pa | Neurological Surgery | 4211 W Boy Scout Blvd, Suite 400, Tampa, FL 33607-5724 | 2009-06-30 |
| 1891934402 | Gulfcoast Spine Institute, Pa | Neurological Surgery | 7101 Mariner Blvd, Brooksville, FL 34609-1048 | 2009-02-05 |
| 1639132616 | Gulfcoast Spine Institute, Pa | Neurological Surgery | 4211 W Boy Scout Blvd, Suite 400, Tampa, FL 33607-5724 | 2006-04-10 |
| Street Address |
439 S FLORIDA AVE STE 300 |
| City | LAKELAND |
| State | FL |
| Zip Code | 33801-5212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473802 | Camryn Nichole White | Assistant Behavior Analyst | 301 South Florida Ave, Lakeland, FL 33801 | 2020-09-30 |
| 1932719242 | Jimia Watkins | Home Health Aide | 2410 Lakeview St, Lakeland, FL 33801 | 2020-08-03 |
| 1396366886 | Erin Zimmer | Health Educator | 491 Lake Parker Ave, Lakeland, FL 33801 | 2020-05-06 |
| 1013473206 | Madelyn Claire Burley | Occupational Therapist | 1215 East Orange Street, Lakeland, FL 33801 | 2019-02-13 |
| 1992260319 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 1617 Us Highway 98 S, Lakeland, FL 33801 | 2019-02-11 |
| 1669908836 | Integrative Physical Medicine of Lakeland LLC | Specialist | 1205 East Magnolia St, Suite 105, Lakeland, FL 33801 | 2017-05-10 |
| 1689111502 | Daryl Dowding | Counselor | 390 Alcaia Rd., Lakeland, FL 33801 | 2017-01-30 |
| 1023481926 | Joseph D'alessandro | Specialist/Technologist | 111 Lake Hollingsworth Dr Box 4334, Lakeland, FL 33801 | 2015-11-02 |
| 1588030894 | Donna Lee Buckner | Specialist/Technologist | 111 Mosswood Road, Lakeland, FL 33801 | 2015-08-20 |
| 1144635780 | Donna Paige Mccraney | Nurse Practitioner | 111 Lake Hollingsworth Drive, Florida Southern College Student Health Center, Lakeland, FL 33801 | 2014-06-23 |
| Find all providers in zip 33801 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366927170 | Royal Palm Orthopedic & Sports Medicine Institute LLC | Orthopaedic Surgery | 1507 Lakeland Hills Blvd Ste 107, Lakeland, FL 33805-3205 | 2018-09-27 |
| 1831190529 | Donald I Serot | Orthopaedic Surgery | 2135 Harden Blvd, Building C, Lakeland, FL 33803-5918 | 2005-08-03 |
| 1891139945 | Obafunto Abimbola | Orthopaedic Surgery | 1600 Lakeland Hills Blvd, Lakeland, FL 33805 | 2013-04-19 |
| 1205074424 | Richard L Crank Jr. | Orthopaedic Surgery | 3030 Harden Blvd, Lakeland, FL 33803-7952 | 2009-01-26 |
| 1194976761 | Benjamin Karl Miller | Orthopaedic Surgery | 3030 Harden Blvd, Lakeland, FL 33803-7952 | 2008-10-01 |
| 1023268620 | Olukemi Kay Fajolu | Orthopaedic Surgery | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2008-09-19 |
| 1770783086 | Emmett Wayne Mosley | Orthopaedic Surgery | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2007-07-24 |
| 1699979534 | Chukwuka C Okafor | Orthopaedic Surgery | 5050 S Florida Ave, Lakeland, FL 33813-2501 | 2007-06-13 |
| 1861536534 | German Marulanda | Orthopaedic Surgery | 5050 S Florida Ave, Lakeland, FL 33813-2501 | 2007-02-16 |
| 1194801316 | F Mark Goodwin Md Pa | Orthopaedic Surgery | 2000 E Edgewood Dr, Suite 110, Lakeland, FL 33803-3653 | 2006-10-31 |
| Find all providers in LAKELAND | ||||
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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.