Amanda Connelly (NPI# 1386873974, PAC ID# 6103967757) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1386873974 |
| PAC ID by PECOS | 6103967757 |
| Professional Enrollment ID | I20100105000580 |
| Full Name | Amanda Connelly |
| Organization Legal Name | NORTH ORLANDO SPINE CENTER, LLC |
| Address |
2160 W State Rd 434 Suite 108 Longwood FL 32779-5003 |
| Phone Number | 4073319913 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 7214062504 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2160 W State Rd, 434 Suite 108, Longwood, FL 32779-5003 | 4073319913 | NORTH ORLANDO SPINE CENTER, LLC |
| Organization Legal Name | NORTH ORLANDO SPINE CENTER, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole L Ingrando | Chiropractic | North Orlando Spine Center, LLC | 2160 W State Rd, 434 Suite 108, Longwood, FL 32779-5003 |
| Street Address |
2160 W STATE RD 434 SUITE 108 |
| City | LONGWOOD |
| State | FL |
| Zip | 32779-5003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark S Girguis | Diagnostic Radiology | University Diagnostic Institute Winter Park Pllc | 2160 W State Rd, 434 Suite 100, Longwood, FL 32779-5003 |
| George A Stanley | Diagnostic Radiology | University Diagnostic Institute Winter Park Pllc | 2160 W State Rd, 434 Suite 100, Longwood, FL 32779-5003 |
| Nicole L Ingrando | Chiropractic | North Orlando Spine Center, LLC | 2160 W State Rd, 434 Suite 108, Longwood, FL 32779-5003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcel V Neesen | Physical Therapy | 686 N Hunt Club Blvd, Suite 180, Longwood, FL 32779-2218 | |
| Samuel Jean | Internal Medicine | 931 Wekiva Springs Rd, Longwood, FL 32779-2501 | |
| Antonio L Rodriguez | Pulmonary Disease | Antonio L Rodriguez Md Pa | 1801 Wingfield Dr, Longwood, FL 32779-2708 |
| Michael L Sampson | Nurse Practitioner | Antonio L Rodriguez Md Pa | 1801 Wingfield Dr, Longwood, FL 32779-2708 |
| Rachel V Groves | Nurse Practitioner | Antonio L Rodriguez Md Pa | 1801 Wingfield Dr, Longwood, FL 32779-2708 |
| Franchesca Marie Perez | Nurse Practitioner | Antonio L Rodriguez Md Pa | 1801 Wingfield Dr, Longwood, FL 32779-2708 |
| Rizwana Hamid | Internal Medicine | 2500 English Ivy Ct, Longwood, FL 32779-3006 | |
| Larry L Hurst | Diagnostic Radiology | Sheridan Radiology Services of West Florida Inc | 1948 Alaqua Dr, Longwood, FL 32779-3103 |
| Ivette Santiago-martir | Family Medicine | Optumcare Florida, LLC | 320 W Sabal Palm Pl, Suite 200, Longwood, FL 32779-3621 |
| Sivapriya Kumar | General Practice | Optumcare Florida, LLC | 320 W Sabal Palm Pl, Suite 200, Longwood, FL 32779-3621 |
| Find all physicians in zip 32779 | |||
| City | LONGWOOD |
| Zip Code | 32779 |
| Specialty | CHIROPRACTIC |
| City + Specialty | LONGWOOD + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.