Organization Active NPI

Gulfcoast Spine Institute, LLC

Doing business as BioSpine Institute

  • Orthopaedic Surgery of the Spine Physician
  • Lakeland, FL
National Provider Identifier
1659980654
Registry record updated Nov 7, 2023
On this page

Key facts

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

Updated by the provider on Nov 7, 2023

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)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 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": "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.

Verify at the official NPI Registry.