A & G Spinal LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

A & G SPINAL LLC

Practice address

8961 Daniels Center Dr Ste 407
Fort Myers, FL 33912-0316

Phone

(239) 985-0040

Fax

(239) 362-2272

NPI assigned

Oct 25, 2019

Last updated

Sep 26, 2023By 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. Cynthia C Williamson

Title

Owner

Phone

(239) 985-0040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1346883048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8961 DANIELS CENTER DR STE 407",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339120316",
            "telephone_number": "239-985-0040",
            "fax_number": "239-362-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8961 DANIELS CENTER DR STE 407",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339120316",
            "telephone_number": "239-985-0040",
            "fax_number": "239-362-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & G SPINAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-985-0040",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.