Neuspine Institute LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

NEUSPINE INSTITUTE LLC

Practice address

15141 Ogden Loop
Odessa, FL 33556-4633

Phone

(813) 333-1186

NPI assigned

Oct 15, 2019

Organization subpart

No

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

Authorized official

Name

Armen Deukmedjian, MD

Title

President

Phone

(813) 333-1186

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1659913218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 COUNTRY PLACE BLVD STE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551102",
            "telephone_number": "813-333-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15141 OGDEN LOOP",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335564633",
            "telephone_number": "813-333-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUSPINE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "DEUKMEDJIAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-333-1186",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Camille Morgan, APRN
• Shannon Mulvey, DPT
• Brittany Nalley, D.M.D.
• Paula Fleisher Nelson, ED.D, LCSW, CAP, CET
• Portia Nelson
• Alan Nguyen
• Joellyn Norrie, LCSW
• Amber Nichelle Oates, PT, DPT, OCS, CSCS
• Odessa Medical Supply
• Odessa Modern Dentistry, PA (Odessa Modern Dentistry)

• Neurological Surgery Physician in Odessa, FL
• Providers in Odessa, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.