INTEGRATED SPINE AND PAIN CENTER OF FLORIDA INC (NPI# 1942675251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942675251 |
| Entity Type | Organization |
| Organization Name | INTEGRATED SPINE AND PAIN CENTER OF FLORIDA INC |
| Practice Address |
29141 Chapel Park Dr Wesley Chapel FL 33543-4423 |
| Practice Telephone | 8139945200 |
| Mailing Telephone | 8139945200 |
| Mailing Fax Number | 8139945700 |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2016-02-10 |
| Authorized Official Name | GARRETT L SOLDANO (PRESIDENT) |
| Authorized Official Telephone | 2693812800 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
29141 CHAPEL PARK DR |
| City | WESLEY CHAPEL |
| State | FL |
| Zip Code | 33543-4423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497112072 | Matthew David Eichler | Chiropractor | 29141 Chapel Park Dr, Wesley Chapel, FL 33543-4423 | 2016-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386124162 | Damien Marquell Jones | Massage Therapist | 2122 Shelbourne Ct, Wesley Chapel, FL 33543 | 2018-08-21 |
| 1518452051 | Julian Fernandez-hodge | Specialist/Technologist | 4730 Pointe O Woods Dr, Wesley Chapel, FL 33543 | 2018-06-27 |
| 1780101394 | Angels Caretakers LLC | Home Health | 5100 Dancing Bay Ln, Wesley Chapel, FL 33543 | 2017-08-24 |
| 1982052965 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 28150 Willet Way, Wesley Chapel, FL 33543 | 2016-05-31 |
| 1881078384 | Abrahams Family Chiropractic, LLC | Chiropractor | 28963 State Road 54, Wesley Chapel, FL 33543 | 2015-07-14 |
| 1598151938 | Jennifer Pernas Boucher | Family Medicine | 30000 County Line Rd, Wesley Chapel, FL 33543 | 2015-04-13 |
| 1639591886 | Angela Recht | Behavioral Analyst | 31057 Mandolin Cay Ave, Wesley Chapel, FL 33543 | 2014-01-07 |
| 1811336902 | Ten Broeck Tampa, LLC | Substance Abuse Rehabilitation Facility | 29910 State Route 56, Wesley Chapel, FL 33543 | 2013-06-21 |
| 1104070101 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 30050 County Line Rd, Wesley Chapel, FL 33543 | 2008-11-05 |
| 1568610293 | Apex Dental | Dentist | 1207 Bruce B Downs Blvd, Suite 1, Wesley Chapel, FL 33543 | 2008-09-06 |
| Find all providers in zip 33543 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475835 | Elides Dominguez | General Practice | 2607 Windguard Cir Ste 102, Wesley Chapel, FL 33544-7352 | 2016-05-23 |
| 1346299179 | Boyce N Berkel | General Practice | 5504 Gateway Blvd, Wesley Chapel, FL 33544-1970 | 2006-05-09 |
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|---|---|---|---|---|
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| 1982203634 | Central Florida Wellness LLC | General Practice | 15516 W Colonial Dr Ste 111, Winter Garden, FL 34787-9558 | 2020-10-23 |
| 1760080212 | Summit Health Multi Specialty of Florida LLC | General Practice | 1881 W Kennedy Blvd Ste D, Tampa, FL 33606-1611 | 2020-10-15 |
| 1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
| 1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | WESLEY CHAPEL |
| Zip Code | 33543 |
Please comment or provide details below to improve the information on INTEGRATED SPINE AND PAIN CENTER OF FLORIDA INC.
| 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.