Lordex Spine Institute

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

LORDEX SPINE INSTITUTE

Practice address

928 Mar Walt Drive E
Suite 201
Fort Walton Beach, FL 32547

Phone

(850) 862-5588

Fax

(850) 862-6015

NPI assigned

Sep 11, 2006

Organization subpart

No

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

Authorized official

Name

Miss Mildred Jean Lee, PT

Title

Supervisor

Phone

(850) 862-5588

Specialties & licenses 1

Addresses

Other names 1

• Lordex Spine Institute Doing business as

Locations

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750485751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 MAR WALT DRIVE E",
            "address_2": "SUITE 201",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-862-5588",
            "fax_number": "850-862-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 MAR WALT DRIVE E",
            "address_2": "SUITE 201",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-862-5588",
            "fax_number": "850-862-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORDEX SPINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "850-862-5588",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lordex Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Lohr
• Brooke Lolley, SLP
• Robert Lawrence Long, M.D.
• Courtney Lane Loper, PAC
• Sharlon Michelle Lopez
• Kim M. Losquadro, M.S. M.A.
• Alejandro Jose Luis, M.D.
• Jose A Luis, MD
• Margaret Lummus, HAS
• Mauri G Lunderman, MD

• Physical Therapy Clinic/Center in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.