NEUROSCIENCE AND SPINE ASSOCIATES, PL (NPI# 1750684361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750684361 |
| Entity Type | Organization |
| Organization Name | NEUROSCIENCE AND SPINE ASSOCIATES, PL |
| Other Organization Name | FM LOCATION |
| Practice Address |
8380 Riverwalk Park Blvd Ste 320 Fort Myers FL 33919-8758 |
| Mailing Address |
3451 Pine Ridge Rd Bldg 601 Naples FL 34109-3922 |
| Practice Telephone | 2394371121 |
| Practice Fax Number | 2394372535 |
| Mailing Telephone | 2394493072 |
| Mailing Fax Number | 8773341886 |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | CHERYL ANN LEACH (DIRECTOR, CREDENTIALING) |
| Authorized Official Telephone | 2394493072 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| FM Location | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669756821 | Neuroscience and Spine Associates, Pl | Psychiatry & Neurology | 130 Tamiami Trl N, Suite 250, Naples, FL 34102-6224 | 2011-10-06 |
| 1003115825 | Neuroscience and Spine Associates, Pl | Neuromusculoskeletal Medicine, Sports Medicine | 877 111th Ave N, Naples, FL 34108-1866 | 2011-03-18 |
| 1922301530 | Neuroscience and Spine Associates, Pl | Durable Medical Equipment & Medical Supplies | 1660 Medical Blvd Ste 200, Naples, FL 34110-1416 | 2010-12-21 |
| 1114220845 | Neuroscience and Spine Associates, Pl | Neurological Surgery | 6101 Pine Ridge Rd # Desk10, Naples, FL 34119-3900 | 2010-12-20 |
| 1669536645 | Neuroscience and Spine Associates, Pl | Pain Medicine | 130 Tamiami Trl N Ste 250, Naples, FL 34102-6233 | 2006-12-21 |
| Street Address |
8380 RIVERWALK PARK BLVD STE 320 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33919-8758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
| 1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
| 1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
| 1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
| 1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
| 1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
| 1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
| 1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
| 1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
| 1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
| Find all providers in zip 33919 | ||||
| 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 | 33919 |
Please comment or provide details below to improve the information on NEUROSCIENCE AND SPINE ASSOCIATES, PL.
| 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.