Biospine Holding Company, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BIOSPINE HOLDING COMPANY, LLC

Practice address

5301 Avion Park Dr
Tampa, FL 33607-1416

Phone

(813) 443-2108

Fax

(813) 443-8255

NPI assigned

Mar 19, 2019

Organization subpart

No

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

Authorized official

Name

James Ronzo, MD

Title

President

Phone

(813) 443-2108

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1669931606",
    "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": "5301 AVION PARK DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336071416",
            "telephone_number": "813-443-2108",
            "fax_number": "813-443-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Millenia Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328396407",
            "country_code": "US",
            "telephone_number": "407-449-8620",
            "fax_number": "407-205-1686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BIOSPINE HOLDING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "RONZO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-443-2108",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Biosens Diagnostics LLC
• Biospine LLC
• Birches Health Medical Group Midwest, P.a.
• Birches Health Medical Group P a
• John Andrew Birchfield, D.D.S.
• Lisa Marie Birchfield, BA

• Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.