Organization Active NPI

Nevada Spine Center, LLC

  • Specialist
  • Hudson, FL
National Provider Identifier
1609229871
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEVADA SPINE CENTER, LLC
Practice address
7315 Hudson Ave
Hudson, FL 34667-1158
Phone
(727) 868-9563
Fax
(727) 861-2253
NPI assigned
Jul 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Marcelo D. Eguino
Title
VP
Phone
(727) 868-9563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

7315 Hudson Ave
Hudson, FL 34667-1158

Mailing address

PO Box 5519
Hudson, FL 34674-5519
Phone (727) 868-9563

National Provider Directory

National Provider Directory

Locations

10195 W Twain Ave
Ste B
Las Vegas, NV 89147
Phone (727) 868-9563

Practitioners & affiliated clinicians

Practitioners 5

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": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1609229871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5519",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346745519",
            "telephone_number": "727-868-9563",
            "fax_number": "727-869-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 HUDSON AVE",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671158",
            "telephone_number": "727-868-9563",
            "fax_number": "727-861-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA SPINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "EGUINO",
        "authorized_official_first_name": "MARCELO",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "727-868-9563"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.