Spine Institute of Central Florida

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME104463 Issued in FL

Legal business name

SPINE INSTITUTE OF CENTRAL FLORIDA

Practice address

1301 Grasslands Blvd
Lakeland, FL 33803-5401

Phone

(863) 688-3030

NPI assigned

Apr 26, 2011

Last updated

Apr 26, 2011By 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

Dr. Chukwuka C Okafor, M.D. , M.B.A.NPI 1699979534

Title

Physician

Phone

(863) 688-3030

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Chukwuka C Okafor, MD

  • Orthopaedic Surgery of the Spine Physician
  • Lakeland, FL
  • NPI 1699979534
  Authorized official Same address or phone

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1609167592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 GRASSLANDS BOULVARD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035401",
            "telephone_number": "863-688-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 GRASSLANDS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338035401",
            "telephone_number": "863-688-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE INSTITUTE OF CENTRAL FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "CHUKWUKA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "863-688-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. , M.B.A."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME104463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001188600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Spessot, M.D.
• Giancarlo Humberto Speziani, MD
• Patricia Spiker, RPH
• Spinal Solutions FL LLC
• Spine & Pain Institute of Florida
• Michael James Spinger
• Gregory J Spirakis, AUD CCC A
• Sports and Orthopedic Rehabilitation Services Inc (Select Physical Therapy)
• Sports and Orthopedic Rehabilitation Services Inc (Select Physical Therapy)
• Sports and Orthopedic Rehabilitation Services, Inc. (Select Physical Therapy)

• Clinic/Center in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.