Brevard County Orthopedic & Spine Associates LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

OS12542 Issued in FL

Legal business name

BREVARD COUNTY ORTHOPEDIC & SPINE ASSOCIATES LLC

Practice address

2090 Sarno Rd
Melbourne, FL 32935-3077

Phone

(321) 608-8888

NPI assigned

Jan 26, 2017

Last updated

Jan 26, 2017By 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

Jeneane WakulaNPI 1003238015

Title

Office Manager

Phone

(772) 546-9591

Specialties & licenses 1

Addresses

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.

• Jeneane Wakula

  • Chiropractor
  • Hobe Sound, FL
  • NPI 1003238015
  Authorized official Same address or phone

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1588101604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8929 SE BRIDGE RD",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334555312",
            "telephone_number": "772-546-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 SARNO RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353077",
            "telephone_number": "321-608-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD COUNTY ORTHOPEDIC & SPINE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "WAKULA",
        "authorized_official_first_name": "JENEANE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "772-546-9591"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "OS12542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brevard Behavioral Consultants, Inc
• Brevard Clinical Research Center, Inc.
• Brevard Community Health Services, Inc.
• Brevard Counseling Associates
• Brevard County Dialysis, LLC (Renal Care Group Brevard)
• Brevard Emergency Services
• Brevard Eye Center
• Brevard Eye Center
• Brevard Eye Center Inc
• Brevard Eye Center Inc

• Specialist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.