BRAIN AND SPINE NEUROSCIENCE INSTITUTE, LLC (NPI# 1720590953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720590953 |
| Entity Type | Organization |
| Organization Name | BRAIN AND SPINE NEUROSCIENCE INSTITUTE, LLC |
| Other Organization Name | THE FLORIDA CENTER FOR MINIMALLY INVASIVE NEUROSURGERY |
| Practice Address |
13121 66th St Largo FL 33773-1812 |
| Mailing Address |
16506 Pointe Village Dr Ste 107 Lutz FL 33558-5255 |
| Practice Telephone | 8133364461 |
| Practice Fax Number | 8133364466 |
| Mailing Telephone | 8133364461 |
| Mailing Fax Number | 8133364466 |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2020-04-24 |
| Authorized Official Name | CARRIE SHULMAN (MD) |
| Authorized Official Telephone | 8133364461 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Florida Center for Minimally Invasive Neurosurgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356853584 | Brain and Spine Neuroscience Institute, LLC | Neurological Surgery | 4728 N Habana Ave Ste 202, Tampa, FL 33614-7147 | 2017-10-27 |
| 1578126439 | Brain and Spine Neuroscience Institute, LLC | Neurological Surgery | 16506 Pointe Village Dr Ste 107, Lutz, FL 33558-5255 | 2019-04-17 |
| 1881179885 | Brain and Spine Neuroscience Institute, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4728 N Habana Ave Ste 202, Tampa, FL 33614-7147 | 2018-09-26 |
| 1417431925 | Brain and Spine Neuroscience Institute, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11373 Cortez Blvd Ste 304, Brooksville, FL 34613-5411 | 2018-09-20 |
| 1073017505 | Brain and Spine Neuroscience Institute, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 13740 Office Park Ct Ste C, Hudson, FL 34667-7145 | 2018-03-20 |
| 1902327133 | Brain and Spine Neuroscience Institute, LLC | Surgery | 7657 Cita Ln, New Port Richey, FL 34653-6221 | 2017-06-28 |
| 1457871246 | Brain and Spine Neuroscience Institute, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7657 Cita Ln, New Port Richey, FL 34653-6221 | 2017-06-22 |
| 1851831572 | Brain and Spine Neuroscience Institute, LLC | Neurological Surgery | 11373 Cortez Blvd, Suite 304, Spring Hill, FL 34613-5414 | 2017-02-28 |
| 1093178311 | Brain and Spine Neuroscience Institute, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 16506 Pointe Village Dr Ste 107, Lutz, FL 33558-5255 | 2016-04-04 |
| Street Address |
13121 66TH ST |
| City | LARGO |
| State | FL |
| Zip Code | 33773-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225017833 | Carrie L Shulman | Neurological Surgery | 13121 66th St, Largo, FL 33773-1812 | 2006-01-11 |
| 1588151906 | Carrie Shulman Md LLC | Clinic/Center | 13121 66th St, Largo, FL 33773-1812 | 2018-04-20 |
| 1699147967 | Kathryn Gerlach | Nurse Practitioner | 13121 66th St, Largo, FL 33773-1812 | 2015-10-27 |
| 1083949010 | Lana Mckinley | Dermatology | 13121 66th St, Largo, FL 33773-1812 | 2009-10-08 |
| 1558452664 | Jeannette F Levy | Nurse Practitioner | 13121 66th St, Largo, FL 33773-1812 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144719 | Rosabelle Magloire Chism | Nurse Practitioner | 11542 92nd Street North, Largo, FL 33773 | 2020-08-10 |
| 1265040976 | Gulf Coast Mental Health Services LLC | Clinic/Center | 10641 Whittngton Court, Largo, FL 33773 | 2020-07-20 |
| 1770930190 | Albert H Thurlow IIi | Nurse Practitioner | 10471 Whittington Ct, Largo, FL 33773 | 2016-05-16 |
| 1700264660 | Logan Kienholz | Behavioral Analyst | 12505 Sarky Rd, Suite G, Largo, FL 33773 | 2015-05-12 |
| 1093121998 | Dorit Morecraft | Nurse Practitioner | 10641 Whittington Court, Largo, FL 33773 | 2014-07-11 |
| 1891135281 | Shameka Jones | Pharmacist | 12091 Starkey Rd, Largo, FL 33773 | 2013-06-28 |
| 1427496942 | Kim Hoang T Vo | Podiatrist | 12685 Starkey Road, Largo, FL 33773 | 2013-06-06 |
| 1104165729 | Aaron Rigali | Pharmacist | 11701 S Belcher Rd Ste 126, Largo, FL 33773 | 2013-02-01 |
| 1518249648 | Jolynn Renee Dyer | Occupational Therapist | 8254 118th Ave Unit 100, Unit 100, Largo, FL 33773 | 2011-09-14 |
| 1366720161 | Sally Donna Plink | Massage Therapist | 10671 104th Ave N, Seminole, FL 33773 | 2011-07-27 |
| Find all providers in zip 33773 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225017833 | Carrie L Shulman | Neurological Surgery | 13121 66th St, Largo, FL 33773-1812 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063032514 | Jose Valerio Md Pllc | Neurological Surgery | 2741 Executive Park Dr Ste 2, Weston, FL 33331-3641 | 2020-04-24 |
| 1376172478 | Neuspine Ancillary LLC | Neurological Surgery | 510 Vonderburg Dr Ste 213, Brandon, FL 33511-5981 | 2020-04-02 |
| 1013542364 | Michelle Carnes | Neurological Surgery | 2575 Northbrooke Plaza Dr Unit 100, Naples, FL 34119-8105 | 2020-03-06 |
| 1962049163 | East Coast Neuro Spine Clinic, LLC | Neurological Surgery | 1601 S Apollo Blvd Ste C, Melbourne, FL 32901-4484 | 2019-12-06 |
| 1659913796 | Orlando Neurosurgical Solutions LLC | Neurological Surgery | 2706 Rew Cir # 205, Ocoee, FL 34761-4215 | 2019-10-10 |
| 1760047831 | North Broward Neurospinal Surgery Inc | Neurological Surgery | 1 W Sample Rd Ste 209, Pompano Beach, FL 33064-3547 | 2019-05-04 |
| 1932672912 | Volusia Neurosurgical Associates | Neurological Surgery | 311 N Clyde Morris Blvd Ste 440, Daytona Beach, FL 32114-2757 | 2019-01-02 |
| 1861961344 | Expert Neurosurgical Services LLC | Neurological Surgery | 600 Heritage Dr Ste 105, Jupiter, FL 33458-3098 | 2018-11-14 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1114492493 | Lloyd Maliner, Md Pa | Neurological Surgery | 301 Nw 84th Ave Ste 206, Plantation, FL 33324-1807 | 2018-10-12 |
| Find all providers with the same taxonomy | ||||
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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.