American Spine & Orthopeadic Institute, LLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

ME82479 Issued in FL

Legal business name

AMERICAN SPINE & ORTHOPEADIC INSTITUTE, LLC

Practice address

3501 Health Center Blvd Ste 2430
Bonita Springs, FL 34135

Phone

(407) 440-2728

Fax

(407) 792-4152

NPI assigned

Jun 27, 2016

Organization subpart

No

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

Authorized official

Name

James Manzanares, M.DNPI 1689616989

Title

Physician/Surgeon

Phone

(407) 440-2728

Specialties & licenses 1

Addresses

Tax ID family

American Spine Orthopaedic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• American Spine & Orthopaedic Institute, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Daytona Beach, FL
  • NPI 1619362951
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Manzanares, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Orlando, FL
  • NPI 1689616989
  NPD (past) Authorized official

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1104277623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7824 LAKE UNDERHILL RD STE H",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228201",
            "telephone_number": "407-440-2728",
            "fax_number": "407-792-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 HEALTH CENTER BLVD STE 2430",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "34135",
            "telephone_number": "407-440-2728",
            "fax_number": "407-792-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SPINE & ORTHOPEADIC INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "MANZANARES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN/SURGEON",
        "authorized_official_telephone_number": "407-440-2728",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME82479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery of the Spine Physician in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Orthopaedic Surgery of the Spine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.