The Spine Institute of Florida PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

THE SPINE INSTITUTE OF FLORIDA PLLC

Practice address

1905 Clint Moore Rd Ste 300
Boca Raton, FL 33496-2661

Phone

(412) 997-0494

NPI assigned

Jan 7, 2025

Last updated

Jan 7, 2025By 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

Jocelyn Rae Idema, DONPI 1700080421

Title

Orthopedic Surgeon

Phone

(412) 997-0494

Specialties & licenses 1

Addresses

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.

• Jocelyn Rae Idema, D.O

  • Orthopaedic Surgery Physician
  • Washington, PA
  • NPI 1700080421
  NPD Authorized official

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1043029788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 PONCE DE LEON BLVD # 142",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344418",
            "telephone_number": "412-997-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD STE 300",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962661",
            "telephone_number": "412-997-0494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 SW 57th Ave",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331435428",
            "country_code": "US",
            "telephone_number": "412-997-0494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE SPINE INSTITUTE OF FLORIDA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "IDEMA",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON",
        "authorized_official_telephone_number": "412-997-0494",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.