Organization Active NPI

Nextgen Spine Center, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Trinity, FL
National Provider Identifier
1073409629
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
NEXTGEN SPINE CENTER, LLC
Practice address
1820 Wellness LN BLDG 4
Trinity, FL 34655-5357
Phone
(878) 867-7463
NPI assigned
Jun 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Mr. Marcelo Daniel Eguino
Title
VP
Phone
(727) 809-0377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X Primary

Addresses

Primary practice location

1820 Wellness LN BLDG 4
Trinity, FL 34655-5357

Mailing address

1536 Kish Blvd
Trinity, FL 34655-5310
Phone (727) 809-0377

National Provider Directory

National Provider Directory

Locations

1820 Wellness Ln
Bldg 4
Trinity, FL 34655
Phone (727) 264-8888

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1073409629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 KISH BLVD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555310",
            "telephone_number": "727-809-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 WELLNESS LN BLDG 4",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555357",
            "telephone_number": "878-867-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXTGEN SPINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "EGUINO",
        "authorized_official_first_name": "MARCELO",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "727-809-0377",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

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