Organization Active NPI

Abba Spine Center, Inc.

  • Health Service Clinic/Center
  • Orlando, FL
National Provider Identifier
1376749309
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
CH3219 Issued in FL
Legal business name
ABBA SPINE CENTER, INC.
Practice address
1026 W Michigan St
Orlando, FL 32805-5447
Phone
(407) 835-0047
Fax
(407) 835-0015
NPI assigned
Jun 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Roy Peter Carlson, D.C.NPI 1790901056
Title
President
Phone
(352) 360-3601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X CH3219 FL Primary

Addresses

Primary practice location

1026 W Michigan St
Orlando, FL 32805-5447

Mailing address

PO Box 555927
Orlando, FL 32855-5927
Phone (407) 835-0047

National Provider Directory

National Provider Directory

Locations

1026 W Michigan St
Orlando, FL 32805
Phone (407) 835-0047

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376749309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555927",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328555927",
            "telephone_number": "407-835-0047",
            "fax_number": "407-835-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 W MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328055447",
            "telephone_number": "407-835-0047",
            "fax_number": "407-835-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBA SPINE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-360-3601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "CH3219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.