Orlando Spine and Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11337 Issued in FL

Legal business name

ORLANDO SPINE AND WELLNESS CENTER

Practice address

13802 Landstar Blvd
Suite 107
Orlando, FL 32824-5500

Phone

(321) 234-0124

Fax

(321) 280-1029

NPI assigned

Jan 20, 2015

Last updated

Dec 7, 2015By 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

Dr. Michael Thorn Bowerman Jr., D.C.NPI 1619373149

Title

President

Phone

(407) 446-6687

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Michael T Bowerman Jr., D.C.

  • Chiropractor
  • Orlando, FL
  • NPI 1619373149
  Medicare reassignment NPD Authorized official
• Carlos Andres Gomez, DC

  • Chiropractor
  • Winter Park, FL
  • NPI 1427715697
  Medicare reassignment NPD

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1104215706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13802 LANDSTAR BLVD",
            "address_2": "107",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328245500",
            "telephone_number": "321-234-0124",
            "fax_number": "321-280-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13802 LANDSTAR BLVD",
            "address_2": "SUITE 107",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328245500",
            "telephone_number": "321-234-0124",
            "fax_number": "321-280-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO SPINE AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "BOWERMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THORN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-446-6687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orlando Sleep Disorders Center PA
• Orlando Sleep Solutions, LLC
• Orlando SNF LLC (Courtyards of Orlando Rehabilitation and Health Center)
• Orlando SNF LLC (Courtyards of Orlando Rehabilitation and Health Center)
• Orlando Speech Clinic, LLC
• Orlando Sports Chiropractic, Inc.
• Orlando Sports Medicine Group Inc
• Orlando Sports Medicine Group, Inc
• Orlando Stuttering Center
• Orlando Surgery Center II LTD

• Chiropractor in Orlando, FL
• Providers in Orlando, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.