Mis Neurospine LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MIS NEUROSPINE LLC

Practice address

12468 Brantley Commons CT
Fort Myers, FL 33907-5663

Phone

(239) 236-8933

Fax

(407) 650-2731

NPI assigned

Apr 25, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Curtis Lee Beauregard, MD

Title

Owner

Phone

(239) 236-8933

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1629766969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 AMAZING WAY STE 209",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613491",
            "telephone_number": "239-236-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12468 BRANTLEY COMMONS CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075663",
            "telephone_number": "239-236-8933",
            "fax_number": "407-650-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIS NEUROSPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "BEAUREGARD",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-236-8933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aldo Miralles Fernandez
• Mirna De la Caridad Miranda Boza, RBT
• Alejandro J Miranda-Sousa, M.D.
• Alexander Miron
• Zuheir Mirza, MD
• Jessica Camille Misiorowski, OD
• Gina Tracy Mitas, APRN
• Angela Mitchell, B.L.S
• Angela Marie Mitchell, P.A.
• Ashley Mitchell

• Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, 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 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.