FLORIDA SPINE AND BRAIN (NPI# 1700048170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700048170 |
| Entity Type | Organization |
| Organization Name | FLORIDA SPINE AND BRAIN |
| Practice Address |
20 Barkley Cir Suite 201 Fort Myers FL 33907-4545 |
| Mailing Address |
252 W Marion Ave Punta Gorda FL 33950-4435 |
| Practice Telephone | 2392756690 |
| Mailing Telephone | 9412052417 |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2010-11-03 |
| Authorized Official Name | DR. DAVID B SUDDERTH (PRESIDENT) |
| Authorized Official Telephone | 2392756690 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
20 BARKLEY CIR SUITE 201 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-4545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581449 | Barry Butler | Family Medicine | 20 Barkley Cir, Suite 102, Fort Myers, FL 33907-4545 | 2005-07-07 |
| 1114364189 | Robert W Heiser Md Pa | Internal Medicine | 20 Barkley Cir, Suite 101, Fort Myers, FL 33907-4545 | 2013-05-30 |
| 1649523051 | Alternative Medical Institute Corp. | Anesthesiology | 20 Barkley Cir, Suite 201, Fort Myers, FL 33907-4545 | 2012-10-23 |
| 1447245451 | Debra K Roggow | Physical Medicine & Rehabilitation | 20 Barkley Cir, Fort Myers, FL 33907-4545 | 2005-09-15 |
| 1720088982 | Robert Walter Heiser | Internal Medicine | 20 Barkley Cir, Suite 101, Fort Myers, FL 33907-4545 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1134407737 | Douglas A Newland Md Pa | Psychiatry & Neurology | 2780 Cleveland Ave Ste 810, Fort Myers, FL 33901-5817 | 2011-07-30 |
| 1376634246 | Schwartz and Schwartz Mdpa | Psychiatry & Neurology | 38 Barkley Cir, Suite 2, Fort Myers, FL 33907-7526 | 2006-09-27 |
| 1700802311 | Naili Duan | Psychiatry & Neurology | 9730 Commerce Center Ct, Fort Myers, FL 33908-3615 | 2006-07-15 |
| 1992774327 | Nima Mowzoon | Psychiatry & Neurology | 9110 College Pointe Court, Fort Myers, FL 33919 | 2006-03-16 |
| 1982673091 | Douglas Alan Newland | Psychiatry & Neurology | 13601 Plantation Rd Ste 3, Fort Myers, FL 33912-4437 | 2006-03-14 |
| 1881684074 | Shubhangi Atul Chumble | Psychiatry & Neurology | 9110 College Pointe Ct, Fort Myers, FL 33919 | 2005-10-27 |
| 1437151172 | Edward Lebretta Davis | Psychiatry & Neurology | 6100 Winkler Rd, Suite C, Fort Myers, FL 33919-8126 | 2005-08-12 |
| 1902805856 | David B Sudderth | Psychiatry & Neurology | 3210 Cleveland Ave, Suite 100, Fort Myers, FL 33901-7182 | 2005-07-21 |
| 1417950635 | Chris J Marino | Psychiatry & Neurology | 12670 Whitehall Dr, Fort Myers, FL 33907-3619 | 2005-05-23 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
Please comment or provide details below to improve the information on FLORIDA SPINE AND BRAIN.
| 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.