Active NPI
Citrus Spine Institute LLC
- Orthopaedic Surgery of the Spine Physician
- Orange Park, FL
National Provider Identifier
1386293215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- Legal business name
- CITRUS SPINE INSTITUTE LLC
- Practice address
- 1409 Kingsley Ave Ste 9F
Orange Park, FL 32073-4579 - Phone
- (904) 579-3448
- Fax
- (904) 375-1761
- NPI assigned
- Sep 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Constantine A Toumbis, MD, PHD
- Title
- Owner
- Phone
- (352) 794-6868
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | Primary |
Addresses
Primary practice location
1409 Kingsley Ave Ste 9F
Orange Park, FL 32073-4579
Mailing address
6099 W Gulf to Lake Hwy
Crystal River, FL 34429-8721
Phone (352) 794-6868
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- Crystal River, FL
- NPI 1386781409
-
- Family Nurse Practitioner
- Crystal River, FL
- NPI 1811639164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567555200000",
"number": "1386293215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6099 W GULF TO LAKE HWY",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344298721",
"telephone_number": "352-794-6868",
"fax_number": "352-794-6869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 KINGSLEY AVE STE 9F",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734579",
"telephone_number": "904-579-3448",
"fax_number": "904-375-1761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITRUS SPINE INSTITUTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-04",
"last_updated": "2019-09-04",
"status": "A",
"authorized_official_last_name": "TOUMBIS",
"authorized_official_first_name": "CONSTANTINE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-794-6868",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, PHD"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.