Organization Active NPI

Biospine LLC

  • Ambulatory Surgical Clinic/Center
  • Tampa, FL
National Provider Identifier
1154747566
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BIOSPINE LLC
Practice address
5301 Avion Park Dr
Tampa, FL 33607-1416
Phone
(855) 485-3262
Fax
(813) 443-8255
NPI assigned
Mar 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
William Milo
Title
Board Member
Phone
(239) 249-4941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X FL Primary

Addresses

Primary practice location

5301 Avion Park Dr
Tampa, FL 33607-1416

Mailing address

5301 Avion Park Dr
Tampa, FL 33607-1416
Phone (813) 280-7809

Other names 1

  • BioSpine LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150303000246 FL Part B Supplier - Ambulatory Surgical Center 9739405150 Practice locations: Tampa, FL

Hospital certification: CCN 100339

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BIOSPINE LLC
Certification status
Terminated Voluntary: merger or closure, Apr 25, 2022
Provider type (POS)
Hospital – Short-term
Participating since
Apr 24, 2020
Last certification
Apr 24, 2020
Beds
1
Ownership / control type
Private (for profit)
Facility address
5301 Avion Park Dr
Tampa, FL 33607

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Biospine LLCCCN 10C0001590
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2077664Biospine LLC5301 Avion Park Dr, Tampa, FL 33607Certificate of waiverMay 12, 2028

National Provider Directory

National Provider Directory
Part of
Biospine Holding Company LLC

Practitioners & affiliated clinicians

Practitioners 4

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": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1154747566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 AVION PARK DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071416",
            "telephone_number": "813-280-7809",
            "fax_number": "813-284-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 AVION PARK DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071416",
            "telephone_number": "855-485-3262",
            "fax_number": "813-443-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOSPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "MILO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "239-249-4941"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BioSpine LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "BioSpine LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.