Active NPI
Florida Medical Orthopedic and Spine Institute
- Clinic/Center
- Lake Mary, FL
National Provider Identifier
1669366779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- FLORIDA MEDICAL ORTHOPEDIC AND SPINE INSTITUTE
- Practice address
- 1210 S International Pkwy Ste 174
Lake Mary, FL 32746-1691 - Phone
- (407) 738-1575
- NPI assigned
- Jun 4, 2025
- Last updated
- Jun 5, 2025
- 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
- Mrs. Rebekah Jackson
- Title
- Vice President
- Phone
- (407) 738-1575
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
1210 S International Pkwy Ste 174
Lake Mary, FL 32746-1691
Mailing address
1210 S International Pkwy Ste 174
Lake Mary, FL 32746-1691
Phone (407) 738-1575
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2327750 | Florida Medical Orthopedic | Certificate of waiver | Jul 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
1210 S International Pkwy
Ste 174
Lake Mary, FL 32746
Phone (407) 333-4300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749081600000",
"number": "1669366779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 S INTERNATIONAL PKWY STE 174",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327461691",
"telephone_number": "407-738-1575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 S INTERNATIONAL PKWY STE 174",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327461691",
"telephone_number": "407-738-1575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA MEDICAL ORTHOPEDIC AND SPINE INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-04",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "REBEKAH",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "407-738-1575",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
- Florida Foot & Ankle Group PA
- Florida Foot & Ankle Group PA
- Florida Health Care Plan Inc
- Florida Hospital Medical Group Inc (Rothman Orthopaedics AdventHealth Medical Group at Lake Mary)
- Florida Internal Medicine PA
- Florida Neurology PA
- Florida Orthopaedic Associates PA
- Florida Pain & Rehabilitation Institute Inc
- Florida Pain & Rehabilitation Institute Inc (National Pain Institute)
- Florida Pain and Rehabilitation Associates Inc (Nuerosurgery of Central Florida)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.