Florida Spine and Brain

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

FLORIDA SPINE AND BRAIN

Practice address

20 Barkley Cir
Suite 201
Fort Myers, FL 33907-4545

Phone

(239) 275-6690

NPI assigned

Jun 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David B Sudderth, MD

Title

President

Phone

(239) 275-6690

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1700048170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 W MARION AVE",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504435",
            "telephone_number": "941-205-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BARKLEY CIR",
            "address_2": "SUITE 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074545",
            "telephone_number": "239-275-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA SPINE AND BRAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "SUDDERTH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-275-6690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.