Spine Institute of Florida, PLLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

OS14036 Issued in FL

Legal business name

SPINE INSTITUTE OF FLORIDA, PLLC

Practice address

6536 Gunn Hwy
Tampa, FL 33625-3853

Phone

(813) 803-0029

NPI assigned

Aug 5, 2016

Organization subpart

No

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

Authorized official

Name

Mark Nicholas PerenichNPI 1497060487

Title

DO

Phone

(813) 803-0029

Specialties & licenses 1

Addresses

Other names 1

• TAMPA BACK INSTITUTE, PLLC Former legal business name

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.

• Mark Nicholas Perenich, D.O.

  • Orthopaedic Surgery of the Spine Physician
  • Tampa, FL
  • NPI 1497060487
  Medicare reassignment Authorized official
• Roger W Fox, M.D.

  • Allergy & Immunology Physician
  • Tampa, FL
  • NPI 1750366423
  NPD

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1154875284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 STILL PARK CIR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335562263",
            "telephone_number": "727-637-8520",
            "fax_number": "813-949-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6536 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253853",
            "telephone_number": "813-803-0029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 N Habana Ave Ste 505",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336147120",
            "country_code": "US",
            "telephone_number": "813-803-0029",
            "fax_number": "813-949-8919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPINE INSTITUTE OF FLORIDA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "PERENICH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "813-803-0029"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "OS14036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAMPA BACK INSTITUTE, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Spine Care LLC
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• Spine Diagnostics & Interventional Center Inc
• Spine DME Solutions LLC
• Spine Injury Physicians LLC
• Spine Rehabilitation Center
• Spine Specialists of America LLC
• Spine Therapy Inc
• Spine Therapy Inc
• Joseph Anthony Spinnato, M.D.

• Orthopaedic Surgery of the Spine Physician in Tampa, FL
• Providers in Tampa, 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 May 2, 2024; 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.