Spinal Decompression Centers of Central Florida, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9026 Issued in FL

Legal business name

SPINAL DECOMPRESSION CENTERS OF CENTRAL FLORIDA, INC.

Practice address

295 Waymont CT Ste 101
Lake Mary, FL 32746-6744

Phone

(407) 321-1094

NPI assigned

Apr 10, 2007

Last updated

Aug 22, 2020By 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. Marc G Ott, DC

Title

Managing Partner

Phone

(407) 321-1094

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134242340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 WAYMONT CT STE 101",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466744",
            "telephone_number": "407-321-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 WAYMONT CT STE 101",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466744",
            "telephone_number": "407-321-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL DECOMPRESSION CENTERS OF CENTRAL FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "407-321-1094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Spellman
• T Spence, M.A., CCC-SLP
• Latrevia Spencer Igbokwe, PHARMD
• Arlene Spertus, MD
• Lisa Spiegel, AUD, CCC-A
• Spine Injury Solutions, Inc. (HealthSource of Lake Mary)
• Kaila Stafford
• Amanda Stanley, RBT
• Amber Nicole Stanley, LCSW
• Brett C Stanley

• Chiropractor in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.