Primo Spine LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PRIMO SPINE LLC

Doing business as

Windermere Chiropractic

Practice address

1805 Maguire Rd Ste 135
Windermere, FL 34786-7924

Phone

(407) 217-6969

Fax

(407) 217-6971

NPI assigned

Aug 20, 2025

Last updated

Aug 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jae Suk Oh, DCNPI 1548777246

Title

Owner/Chiropractic Physician

Phone

(407) 217-6969

Specialties & licenses 1

Addresses

Other names 1

• Windermere Chiropractic Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jae Oh, D.C.

  • Chiropractor
  • Windermere, FL
  • NPI 1548777246
  NPD (past) Authorized official
• Stephen Renick Jr., D.C.

  • Nutrition Chiropractor
  • Ocoee, FL
  • NPI 1619976743
  NPD

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1669359782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14414 BLACK LAKE PRESERVE ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875242",
            "telephone_number": "321-274-3951",
            "fax_number": "407-217-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 MAGUIRE RD STE 135",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867924",
            "telephone_number": "407-217-6969",
            "fax_number": "407-217-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMO SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "SUK",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "407-217-6969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windermere Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose Alfonso Pizarro, MD
• Judith Anne Plett, M.D.
• Alana Plourde
• Stephanie Ponce, MAT, LAT, ATC
• Chelsea Portillo, NP
• Prisia Dermatology LLC
• Publix Super Markets Inc (Publix Pharmacy #1106)
• Publix Super Markets Inc. (Publix Pharmacy #1396)
• Sandra V Puerto, D.M.D
• Pulmonary and Sleep Medicine LLC

• Chiropractor in Windermere, FL
• Providers in Windermere, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.