NPIMap

Organization Active NPI

Spinecare Associates, LLC

  • Non-Pharmacy Dispensing Site
  • Clearwater, FL
National Provider Identifier
1588944862
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
SPINECARE ASSOCIATES, LLC
Doing business as
Florida Spine Institute
Practice address
3280 McMullen Booth Rd
Suite 240
Clearwater, FL 33761-2046
Phone
(727) 797-7463
NPI assigned
Aug 18, 2011
Organization subpart
Yes
Parent organization
SPINECARE ASSOCIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Kenneth Botwin, M.D.
Title
Owner
Phone
(727) 797-7463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

3280 McMullen Booth Rd
Suite 240
Clearwater, FL 33761-2046

Mailing address

2980 N Beverly Glen Cir
Suite 100
Los Angeles, CA 90077-1726
Phone (310) 474-9809

Other names 1

  • Florida Spine Institute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Spinecare Associates LL4 organizations share this tax ID, including this one
Part of
Spinecare Associates LL

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3280 N McMullen Booth Rd
Ste 240
Clearwater, FL 33761

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1588944862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 MCMULLEN BOOTH RD",
            "address_2": "SUITE 240",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612046",
            "telephone_number": "727-797-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINECARE ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPINECARE ASSOCIATES, LLC",
        "enumeration_date": "2011-08-18",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "BOTWIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-797-7463",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.