Consolidated Sports Medical Enterprises, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CONSOLIDATED SPORTS MEDICAL ENTERPRISES, INC

Doing business as

Spine & Disc Care Center

Practice address

3108 Del Prado Blvd S
Cape Coral, FL 33904-7226

Phone

(239) 541-3472

Fax

(239) 540-3473

NPI assigned

Nov 12, 2009

Last updated

Nov 12, 2009By 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

Mrs. Patricia A Mayers

Title

VP/Administrator

Phone

(239) 541-3472

Specialties & licenses 1

Addresses

Other names 1

• SPINE & DISC CARE CENTER Doing business as

Locations

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1336476290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047226",
            "telephone_number": "239-541-3472",
            "fax_number": "239-540-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047226",
            "telephone_number": "239-541-3472",
            "fax_number": "239-540-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSOLIDATED SPORTS MEDICAL ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "MAYERS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP/ADMINISTRATOR",
        "authorized_official_telephone_number": "239-541-3472",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPINE & DISC CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.