Southwest Florida Spine Institute PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME98377 Issued in FL

Legal business name

SOUTHWEST FLORIDA SPINE INSTITUTE PLLC

Practice address

3420 Tamiami TRL
Suite 1
Port Charlotte, FL 33952-8126

Phone

(941) 979-7310

NPI assigned

Jun 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mario L Pereira, MD

Title

Physician

Phone

(941) 979-7310

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert T Getter, MD

  • Orthopaedic Surgery of the Spine Physician
  • Port Charlotte, FL
  • NPI 1427241686
  NPD (past)
• Cranford Richard Powell, PA-C

  • Physician Assistant
  • Indianapolis, IN
  • NPI 1356422554
  NPD (past)

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1700045069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 494409",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339494409",
            "telephone_number": "941-979-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 TAMIAMI TRL",
            "address_2": "SUITE 1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528126",
            "telephone_number": "941-979-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST FLORIDA SPINE INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "PEREIRA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "941-979-7310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME98377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soul Care Solution LLC
• Soul Dental PLLC
• John Harvey Sours, D.C.
• South Florida Diagnostic Associates
• Southwest Florida Regional Imaging II LLC
• Southwest Physical Therapy & Rehabilitation Inc
• Southwest Psychotherapy and Counseling Center Inc
• Sovi Joseph MD PA
• Joseph William Spadafora, D.O.
• Chelsea Spalding, O.D.

• Orthopaedic Surgery Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.