Care Spine and Sports Health PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

CARE SPINE AND SPORTS HEALTH PLLC

Practice address

2795 W New Haven Ave
West Melbourne, FL 32904-3705

Phone

(321) 622-8626

Fax

(800) 813-9164

NPI assigned

Jan 23, 2023

Organization subpart

No

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

Authorized official

Name

Hart Meyrich

Title

Business Manager

Phone

(407) 340-9039

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

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

• Jean Guy-Yoma Souffrant, MD

  • Pain Medicine Physician
  • West Melbourne, FL
  • NPI 1669891040

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738368000000",
    "number": "1245945328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 HUMMINGBIRD DR",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034772",
            "telephone_number": "440-465-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 W NEW HAVEN AVE",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329043705",
            "telephone_number": "321-622-8626",
            "fax_number": "800-813-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE SPINE AND SPORTS HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A",
        "authorized_official_last_name": "MEYRICH",
        "authorized_official_first_name": "HART",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "407-340-9039"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Buser
• Jason Bustelo
• BV Assisted Living, Inc.
• Cancer Care Centers of Brevard Inc
• Stephen Henry Canuel, D.C
• Jason Carey
• Kristen Renee Carpio
• Ada Maria Carr, ARNP
• Joann Carr, CCCSLP
• Laurie Ann Carter, PHD, LMHC

• Physical Medicine & Rehabilitation Physician in West Melbourne, FL
• Providers in West Melbourne, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.