Spine & Healthcare Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9315 Issued in FL

Legal business name

SPINE & HEALTHCARE CLINIC LLC

Practice address

12250 Menta St
Suite 205-206
Orlando, FL 32837-7539

Phone

(407) 856-0076

Fax

(407) 856-0751

NPI assigned

Dec 28, 2011

Organization subpart

No

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

Authorized official

Name

Michelle Lee Brown, D.C.NPI 1043476567

Title

Chiropractor/ Owner

Phone

(407) 856-0076

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Lee Brown, D.C.

  • Chiropractor
  • Orlando, FL
  • NPI 1043476567
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1821367434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12250 MENTA ST",
            "address_2": "SUITE 205-206",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377539",
            "telephone_number": "407-856-0076",
            "fax_number": "407-856-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 MENTA ST",
            "address_2": "SUITE 205-206",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377539",
            "telephone_number": "407-856-0076",
            "fax_number": "407-856-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & HEALTHCARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIROPRACTOR/ OWNER",
        "authorized_official_telephone_number": "407-856-0076",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Martin Spigener, LMHC
• Spike Logistics LLC
• Alanna Marie Spina
• Spinal Matters Chiropractic
• Spine & Brain Neurosurgery Center
• Spine & Wellness Centers of Central Florida
• Spine and Joint Specialists of Florida
• Spine and Pain Institute of Nona
• Spine Clinic Physician LLC
• Spine Labs

• Chiropractor in Orlando, FL
• Providers in Orlando, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.