Organization Active NPI

Spinally360, LLC

  • Multi-Specialty Clinic/Center
  • Orange Park, FL
National Provider Identifier
1578415436
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SPINALLY360, LLC
Practice address
1542 Kingsley Ave Ste 143
Orange Park, FL 32073-4547
Phone
(904) 800-7843
Fax
(324) 202-2375
NPI assigned
Feb 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Dr. Marcda Erneza Hilaire Brunot, DCNPI 1457917437
Title
Ceo
Phone
(904) 800-7843

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1542 Kingsley Ave Ste 143
Orange Park, FL 32073-4547

Mailing address

1542 Kingsley Ave Ste 143
Orange Park, FL 32073-4547
Phone (904) 800-7843

National Provider Directory

National Provider Directory

Locations

1542 Kingsley Ave
Ste 143
Orange Park, FL 32073
Phone (904) 800-7843

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1578415436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 KINGSLEY AVE STE 143",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734547",
            "telephone_number": "904-800-7843",
            "fax_number": "324-202-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 KINGSLEY AVE STE 143",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734547",
            "telephone_number": "904-800-7843",
            "fax_number": "324-202-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINALLY360, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "HILAIRE BRUNOT",
        "authorized_official_first_name": "MARCDA",
        "authorized_official_middle_name": "ERNEZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-800-7843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "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 Feb 12, 2026; 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.