Organization Active NPI

North Florida Orthopedic and Spine, PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Pensacola, FL
National Provider Identifier
1609548254
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
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

Updated by the provider on May 25, 2023

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)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.