Active NPI
Spine Institute of South Florida PA
- Orthopaedic Surgery of the Spine Physician
- Delray Beach, FL
National Provider Identifier
1700970126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- Legal business name
- SPINE INSTITUTE OF SOUTH FLORIDA PA
- Practice address
- 5210 Linton Blvd
Suite 103
Delray Beach, FL 33484-6542 - Phone
- (561) 381-4271
- Fax
- (561) 381-4273
- NPI assigned
- Oct 2, 2006
- 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
- Susan G Davis
- Title
- Manager
- Phone
- (561) 381-4271
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | Primary |
Addresses
Primary practice location
5210 Linton Blvd
Suite 103
Delray Beach, FL 33484-6542
Mailing address
5210 Linton Blvd
Suite 103
Delray Beach, FL 33484-6542
Phone (561) 381-4271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
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 |
|---|---|---|---|
| 10D2117202 | Spine Institute of South Florida | Certificate of waiver | Aug 9, 2026 |
National Provider Directory
National Provider DirectoryLocations
5210 Linton Blvd
Ste 103
Delray Beach, FL 33484
Phone (561) 381-4271
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery of the Spine Physician
- Delray Beach, FL
- NPI 1376572032
-
- Orthopaedic Surgery of the Spine Physician
- Delray Beach, FL
- NPI 1386640852
-
- Physical Medicine & Rehabilitation Physician
- Delray Beach, FL
- NPI 1255719993
-
- Physician Assistant
- Delray Beach, FL
- NPI 1710691670
-
- Physician Assistant
- Delray Beach, FL
- NPI 1023532181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317600000000",
"number": "1700970126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5210 LINTON BLVD",
"address_2": "SUITE 103",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334846542",
"telephone_number": "561-381-4271",
"fax_number": "561-381-4273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5210 LINTON BLVD",
"address_2": "SUITE 103",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334846542",
"telephone_number": "561-381-4271",
"fax_number": "561-381-4273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINE INSTITUTE OF SOUTH FLORIDA PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2011-10-03",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "561-381-4271"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.