Active NPI
Neuroscience and Spine Associates PL
- Neurology Physician
- Fort Myers, FL
National Provider Identifier
1750684361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- NEUROSCIENCE AND SPINE ASSOCIATES PL
- Practice address
- 8380 Riverwalk Park Blvd Ste 320
Fort Myers, FL 33919-8758 - Phone
- (239) 437-1121
- Fax
- (239) 437-2535
- NPI assigned
- Dec 21, 2010
- Last updated
- Feb 15, 2024
- 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
- Cheryl Ann Leach
- Title
- Director, Credentialing
- Phone
- (239) 449-3072
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | NU | Primary |
Addresses
Primary practice location
8380 Riverwalk Park Blvd Ste 320
Fort Myers, FL 33919-8758
Mailing address
3451 Pine Ridge Rd BLDG 601
Naples, FL 34109-3922
Phone (239) 449-3072
Other names 1
- FM Location
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 |
|---|---|---|---|
| 10D1084180 | Neuroscience & Spine Associates | Certificate of waiver | May 18, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Neuroscience Spine As
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Naples, FL
- NPI 1023847563
-
dba The Gates Hand Center
- Orthopaedic Surgery Physician
- Naples, FL
- NPI 1215478987
-
- Interventional Pain Medicine Physician
- Naples, FL
- NPI 1669536645
Locations
1660 Medical Blvd
Ste 200
Naples, FL 34110
Phone (239) 566-3434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707955200000",
"number": "1750684361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3451 PINE RIDGE RD BLDG 601",
"city": "NAPLES",
"state": "FL",
"postal_code": "341093922",
"telephone_number": "239-449-3072",
"fax_number": "877-334-1886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8380 RIVERWALK PARK BLVD STE 320",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339198758",
"telephone_number": "239-437-1121",
"fax_number": "239-437-2535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROSCIENCE AND SPINE ASSOCIATES PL",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-21",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A",
"authorized_official_last_name": "LEACH",
"authorized_official_first_name": "CHERYL",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "DIRECTOR, CREDENTIALING",
"authorized_official_telephone_number": "239-449-3072"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FM Location",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fort Myers, FL
- Neuropathy Clinic PLLC
- Neuropathy Medical Center of Florida
- Neuropsychiatric Research Center of Southwest Florida LLC
- Neuropsychological Associates of South Florida PA
- Neurorise Behavioral Center LLC
- Neville Ngabe LLC
- Michelle A Neville, MA, LMHC
- New Access ABA LLC
- New Beginnings at Ft Myers LLC
- New Dawn Eastern Medicine Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.