Organization Active NPI

Brain, Spine and Pain Institute of Lake Nona PLLC

  • Clinic/Center
  • Orlando, FL
National Provider Identifier
1093517872
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BRAIN, SPINE AND PAIN INSTITUTE OF LAKE NONA PLLC
Practice address
13563 Narcoossee Rd Ste 110
Orlando, FL 32832-7138
Phone
(443) 839-4889
Fax
(407) 887-1025
NPI assigned
Mar 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Dr. Gilbert Ochieng Mbeo, MD
Title
Medical Director
Phone
(443) 839-4889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

13563 Narcoossee Rd Ste 110
Orlando, FL 32832-7138

Mailing address

13563 Narcoossee Rd Ste 110
Orlando, FL 32832-7138
Phone (443) 839-4889

National Provider Directory

National Provider Directory

Locations

13563 Narcoossee Rd
Ste 110
Orlando, FL 32832
Phone (407) 691-6912

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1093517872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13563 NARCOOSSEE RD STE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328327138",
            "telephone_number": "443-839-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13563 NARCOOSSEE RD STE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328327138",
            "telephone_number": "443-839-4889",
            "fax_number": "407-887-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN, SPINE AND PAIN INSTITUTE OF LAKE NONA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "MBEO",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "OCHIENG",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "443-839-4889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.