B & G Spine Group Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

B & G SPINE GROUP INC.

Practice address

1465 Gene St
Ste B
Winter Park, FL 32789-4840

Phone

(407) 644-6242

Fax

(407) 644-6171

NPI assigned

Nov 8, 2010

Last updated

Jan 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Blair

Title

Owner

Phone

(407) 644-6242

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1033410055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 GENE ST",
            "address_2": "STE B",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894840",
            "telephone_number": "407-644-6242",
            "fax_number": "407-644-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 GENE ST",
            "address_2": "STE B",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894840",
            "telephone_number": "407-644-6242",
            "fax_number": "407-644-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & G SPINE GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-644-6242",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.