Spine Diagnostics & Interventional Center Inc

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME37627 Issued in FL

Legal business name

SPINE DIAGNOSTICS & INTERVENTIONAL CENTER INC

Practice address

2808 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6306

Phone

(813) 872-9200

Fax

(813) 875-5101

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gregory T Flynn, M.D.

Title

Owner/Medical Director

Phone

(813) 872-9200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1700827649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152199",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336842199",
            "telephone_number": "813-872-9200",
            "fax_number": "813-875-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076306",
            "telephone_number": "813-872-9200",
            "fax_number": "813-875-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE DIAGNOSTICS & INTERVENTIONAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-872-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME37627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spinal Connections of Tampa Bay
• Spine & Orthopedic Center, P.a.
• Spine and Orthopedic Specialists of Tampa, LLC
• Spine Care LLC
• Spine Design Chiropractic Center, LLC
• Spine DME Solutions LLC
• Spine Injury Physicians LLC
• Spine Institute of Florida, PLLC
• Spine Rehabilitation Center
• Spine Specialists of America LLC (Spine Specialists Network)

• Pain Medicine (Anesthesiology) Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.