Organization Active NPI

Spine Injury Solutions, Inc.

Doing business as HealthSource of Lake Mary

  • Rehabilitation Chiropractor
  • Lake Mary, FL
National Provider Identifier
1154624047
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH9551 Issued in FL
Legal business name
SPINE INJURY SOLUTIONS, INC.
Doing business as
HealthSource of Lake Mary
Practice address
3525 W. Lake Mary Blvd.
Suite 301
Lake Mary, FL 32746
Phone
(407) 323-6001
Fax
(407) 323-6099
NPI assigned
Dec 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Dr. Leonard J Solano, D.C.NPI 1841448057
Title
President/Owner
Phone
(407) 323-6001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X CH9551 FL Primary

Addresses

Primary practice location

3525 W. Lake Mary Blvd.
Suite 301
Lake Mary, FL 32746

Mailing address

3525 W. Lake Mary Blvd.
Suite 301
Lake Mary, FL 32746
Phone (407) 323-6001

Other names 1

  • HealthSource of Lake Mary Doing business as

National Provider Directory

National Provider Directory

Locations

3525 W Lake Mary Blvd
Ste 301
Lake Mary, FL 32746
Phone (407) 323-6001

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1154624047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 W. LAKE MARY BLVD.",
            "address_2": "SUITE 301",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "32746",
            "telephone_number": "407-323-6001",
            "fax_number": "407-323-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 W. LAKE MARY BLVD.",
            "address_2": "SUITE 301",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "32746",
            "telephone_number": "407-323-6001",
            "fax_number": "407-323-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE INJURY SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "SOLANO",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "407-323-6001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH9551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource of Lake Mary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.