Active NPI
North Florida Orthopedic and Spine, PLLC
- Orthopaedic Surgery of the Spine Physician
- Pensacola, FL
National Provider Identifier
1609548254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- Legal business name
- NORTH FLORIDA ORTHOPEDIC AND SPINE, PLLC
- Doing business as
- Palmetto Brain, Spine, & Orthopedic
- Practice address
- 657 E Romana St
Pensacola, FL 32502-6111 - Phone
- (850) 446-2909
- NPI assigned
- Oct 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Seth Jacknowitz
- Title
- Cro
- Phone
- (469) 459-9754
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | Primary |
Addresses
Primary practice location
657 E Romana St
Pensacola, FL 32502-6111
Mailing address
4400 State Highway 121 Ste 405
Lewisville, TX 75056
Phone (469) 459-9754
Other names 1
- Palmetto Brain, Spine, & Orthopedic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684972800000",
"number": "1609548254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 STATE HIGHWAY 121 STE 405",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "75056",
"telephone_number": "469-459-9754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "657 E ROMANA ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325026111",
"telephone_number": "850-446-2909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH FLORIDA ORTHOPEDIC AND SPINE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-01",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A",
"authorized_official_last_name": "JACKNOWITZ",
"authorized_official_first_name": "SETH",
"authorized_official_title_or_position": "CRO",
"authorized_official_telephone_number": "469-459-9754"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Palmetto Brain, Spine, & Orthopedic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.