NPIMap

Organization Active NPI

Gulfcoast Spine Institute, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Fort Myers, FL
National Provider Identifier
1013334655
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
GULFCOAST SPINE INSTITUTE, LLC
Practice address
13350 Metro Pkwy Ste 401
Fort Myers, FL 33966-4796
Phone
(855) 485-3262
Fax
(813) 443-8255
NPI assigned
Mar 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James J Ronzo, D.O.
Title
Owner
Phone
(813) 443-2108

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X Primary

Addresses

Primary practice location

13350 Metro Pkwy Ste 401
Fort Myers, FL 33966-4796

Mailing address

4211 W Boy Scout Blvd
Suite 400
Tampa, FL 33607-5724
Phone (813) 443-2108

Other names 1

  • BioSpine Institute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Spine Therapy Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671

7335 Gladiolus Dr
Ste A
Fort Myers, FL 33908
Phone (813) 443-2108

13350 Metro Pkwy
Ste 401
Fort Myers, FL 33966
Phone (855) 485-3262

3902 Millenia Blvd
Orlando, FL 32839
Phone (407) 449-8620

3902 Millenia Blvd
Fl 3
Orlando, FL 32839
Phone (407) 449-8620

6600 University Pkwy
Ste 204
Sarasota, FL 34240
Phone (877) 841-8858

6101 Webb Rd
Ste 305
Tampa, FL 33615
Phone 8134432108500

6101 Webb Rd
Ste 309
Tampa, FL 33615
Phone (813) 329-6090

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1013334655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 W BOY SCOUT BLVD",
            "address_2": "SUITE 400",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075724",
            "telephone_number": "813-443-2108",
            "fax_number": "813-443-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13350 METRO PKWY STE 401",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339664796",
            "telephone_number": "855-485-3262",
            "fax_number": "813-443-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFCOAST SPINE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "RONZO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-443-2108",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BioSpine Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BioSpine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.