Organization Active NPI

Center for Spine Pain Inc

Doing business as Center For Spine Pain

  • Interventional Pain Medicine Physician
  • Sarasota, FL
National Provider Identifier
1023194032
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME78804 Issued in FL
Legal business name
CENTER FOR SPINE PAIN INC
Doing business as
Center For Spine Pain
Practice address
5741 Bee Ridge Rd
Ste 210
Sarasota, FL 34233-5064
Phone
(941) 256-3875
NPI assigned
Oct 31, 2006
Last updated
Mar 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Angelo Fonte Jr., MDNPI 1104820067
Title
Owner
Phone
(941) 256-3875

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X ME78804 FL Primary

Addresses

Primary practice location

5741 Bee Ridge Rd
Ste 210
Sarasota, FL 34233-5064

Mailing address

PO Box 25006
Sarasota, FL 34277-2006
Phone (941) 256-3875

Other names 1

  • Center For Spine Pain Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1023194032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25006",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342772006",
            "telephone_number": "941-256-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5741 BEE RIDGE RD",
            "address_2": "STE 210",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335064",
            "telephone_number": "941-256-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SPINE PAIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "FONTE",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-256-3875",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME78804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center For Spine Pain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.