Active NPI
Brain, Spine and Pain Institute of Lake Nona PLLC
- Clinic/Center
- Orlando, FL
National Provider Identifier
1093517872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.