Organization · Type 2 NPI

Gulfcoast Spine Institute, LLC

Orthopaedic Surgery of the Spine Physician · Orlando, FL

NPI number 1174040828 Active

Practice location

3902 Millenia Blvd Ste 300
Orlando, FL 32839-6407

Fax (813) 284-7952

Mailing address

4211 W Boy Scout Blvd Ste 400
Tampa, FL 33607-5766

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician 207T00000XNone listed
Orthopaedic Surgery of the Spine Physician Primary 207XS0117XNone listed

Orthopaedic Surgery of the Spine Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

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About NPI 1174040828

Gulfcoast Spine Institute, LLC's National Provider Identifier is 1174040828, issued on Aug 24, 2017. The primary taxonomy on file is Orthopaedic Surgery of the Spine Physician (207XS0117X), and the practice location is in Orlando, FL. The record was last updated on Nov 7, 2023.