NPIMap

Organization Active NPI

Florida Spine and Disc Center, Inc.

  • Chiropractor
  • Port St Lucie, FL
National Provider Identifier
1063653707
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7777 Issued in FL
Legal business name
FLORIDA SPINE AND DISC CENTER, INC.
Practice address
1401 SE Village Green Dr Ste B
Port St Lucie, FL 34952-5118
Phone
(772) 878-3955
Fax
(772) 340-7716
NPI assigned
Mar 10, 2009
Last updated
Mar 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Authorized official

Name
Dr. Carl John Abendroth, D.C.NPI 1649339698
Title
President
Phone
(772) 878-3955

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7777 FL Primary
Specialist 174400000X PT20041 FL

Addresses

Primary practice location

1401 SE Village Green Dr Ste B
Port St Lucie, FL 34952-5118

Mailing address

1401 SE Village Green Dr Ste B
Port St Lucie, FL 34952-5118
Phone (772) 878-3955

National Provider Directory

National Provider Directory

Locations

1401 SE Village Green Dr
Ste B
Port St Lucie, FL 34952
Phone (772) 878-3955

Practitioners & affiliated clinicians

Practitioners 3

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": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1063653707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SE VILLAGE GREEN DR STE B",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525118",
            "telephone_number": "772-878-3955",
            "fax_number": "772-340-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SE VILLAGE GREEN DR STE B",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525118",
            "telephone_number": "772-878-3955",
            "fax_number": "772-340-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA SPINE AND DISC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "ABENDROTH",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-878-3955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7777",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PT20041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.