Active NPI
Gulfcoast Spine Institute, LLC
Doing business as BioSpine Institute
- Orthopaedic Surgery of the Spine Physician
- Lakeland, FL
National Provider Identifier
1659980654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- Legal business name
- GULFCOAST SPINE INSTITUTE, LLC
- Doing business as
- BioSpine Institute
- Practice address
- 439 S Florida Ave Ste 300
Lakeland, FL 33801-5212 - Phone
- (813) 443-2108
- Fax
- (813) 443-8255
- NPI assigned
- Jul 24, 2020
- 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
- James J Ronzo, DO
- Title
- President
- Phone
- (813) 443-2108
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | |||
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | Primary |
Addresses
Primary practice location
439 S Florida Ave Ste 300
Lakeland, FL 33801-5212
Mailing address
4211 W Boy Scout Blvd Ste 400
Tampa, FL 33607-5766
Phone (813) 443-2108
Other names 1
- BioSpine Institute
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699315200000",
"number": "1659980654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4211 W BOY SCOUT BLVD STE 400",
"city": "TAMPA",
"state": "FL",
"postal_code": "336075766",
"telephone_number": "813-443-2108",
"fax_number": "813-443-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 S FLORIDA AVE STE 300",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338015212",
"telephone_number": "813-443-2108",
"fax_number": "813-443-8255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GULFCOAST SPINE INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-24",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A",
"authorized_official_last_name": "RONZO",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-443-2108",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": false
},
{
"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": "BioSpine Institute",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BioSpine Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.