Organization · Type 2 NPI
Gulfcoast Spine Institute, LLC
Orthopaedic Surgery of the Spine Physician · Orange City, FL
Practice location
1105 Saxon Blvd Ste 202
Orange City, FL 32763-8470
Fax (813) 443-8255
Mailing address
4211 W Boy Scout Blvd Ste 400
Tampa, FL 33607-5766
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurological Surgery Physician | 207T00000X | None listed |
| Orthopaedic Surgery of the Spine Physician Primary | 207XS0117X | None 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.
About NPI 1619635265
Gulfcoast Spine Institute, LLC's National Provider Identifier is 1619635265, issued on Dec 1, 2021. The primary taxonomy on file is Orthopaedic Surgery of the Spine Physician (207XS0117X), and the practice location is in Orange City, FL. The record was last updated on Nov 7, 2023.