Spinemed East Hillsborough, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

HCC6771 Issued in FL

Legal business name

SPINEMED EAST HILLSBOROUGH, INC

Practice address

615 Vonderburg Ddrive
Brandon, FL 33511-5972

Phone

(813) 654-1856

Fax

(813) 681-7268

NPI assigned

Aug 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kevin V Donofrio

Title

President

Phone

(813) 654-1856

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Precision Physical Therapy Doing business as

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1629260294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 VONDERBURG DDRIVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115972",
            "telephone_number": "813-654-1856",
            "fax_number": "813-681-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 VONDERBURG DDRIVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115972",
            "telephone_number": "813-654-1856",
            "fax_number": "813-681-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINEMED EAST HILLSBOROUGH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "DONOFRIO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-654-1856",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "HCC6771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "HCC6771",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Specialty Facial Prosthetics LLC
• Spectrum Steps ABA Inc
• Toni Dawn Spence, LMT
• Vania Rodrigues Sperling, OTR/L
• Joshua James Sperry, M.P.T., M.B.A.
• Lisa Marie Spitaleri
• Joscelyn Spivey
• Sports and Orthopedic Rehabilitation Services Inc
• Sports and Orthopedic Rehabilitation Services Inc
• Randall Israel Newton Sprague, D.C.

• Specialist in Brandon, FL
• Providers in Brandon, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.