South Bay Neurology and Total Spine Care, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SOUTH BAY NEUROLOGY AND TOTAL SPINE CARE, P.A.

Practice address

4051 Upper Creek Dr
Suite 111
Sun City Center, FL 33573-6825

Phone

(813) 634-3323

Fax

(813) 634-4764

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Lintao Valencia, M.D.NPI 1649305608

Title

President

Phone

(813) 634-3323

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SOUTH BAY PRIMARY NEUROLOGY CARE, P.A. Former legal business name

Practitioners 1

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

• Christopher Lintao Valencia, M.D.

  • Neurology Physician
  • West Monroe, LA
  • NPI 1649305608
  NPD (past) Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831224872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 UPPER CREEK DR",
            "address_2": "SUITE 111",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736825",
            "telephone_number": "813-634-3323",
            "fax_number": "813-634-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 UPPER CREEK DR",
            "address_2": "SUITE 111",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736825",
            "telephone_number": "813-634-3323",
            "fax_number": "813-634-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY NEUROLOGY AND TOTAL SPINE CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LINTAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-634-3323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "94898",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH9703",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH BAY PRIMARY NEUROLOGY CARE, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sheida Soroory
• South Bay Hospital Outpatient Diag/Imaging Ctr
• South Bay Hospital Outpatient Diagnostic/Imaging Center
• South Bay Imaging LLC
• South Bay Imaging, LLC
• South Bay Surgical Group PA
• Southeast Eye Institute, PA
• Southern Home Care Services, Inc.
• Amanda Spencer
• Brooke A Spencer, PTA

• Specialist in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• Specialist 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.