Spine & Sportsmedicine Specialists

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SPINE & SPORTSMEDICINE SPECIALISTS

Practice address

17327 Ballmont Park Dr
Odessa, FL 33556-6209

Phone

(904) 687-4224

Fax

(813) 852-2137

NPI assigned

Mar 16, 2007

Last updated

Nov 13, 2012By 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

Michael Jerome Lord, M.D.

Title

President

Phone

(904) 687-4224

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1457485666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17327 BALLMONT PARK DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335566209",
            "telephone_number": "904-687-4224",
            "fax_number": "813-852-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17327 BALLMONT PARK DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335566209",
            "telephone_number": "904-687-4224",
            "fax_number": "813-852-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & SPORTSMEDICINE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "LORD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-687-4224",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Robins Solomon, DO
• Sos Mobile Medical Care LLC
• Devin Willis Sosa, PA-C
• John Frank Spallino, M.D.
• Spectrum Low Vision Florida PLLC
• Spine and Orthopaedic Specialists, PLLC
• Spring Hill Anesthesiology, LLC
• Sra Ventures Inc (Westcoast Radiology)
• St Timothy Urgent Care
• Suzanne E Stacey, RD, LD

• Orthopaedic Surgery Physician in Odessa, FL
• Providers in Odessa, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.