Central Florida Spine & Injury, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP2590662 Issued in FL

Legal business name

CENTRAL FLORIDA SPINE & INJURY, LLC

Practice address

809 CR 466
C-301
The Villages, FL 32159-3215

Phone

(352) 732-5590

NPI assigned

Apr 10, 2017

Last updated

Jun 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jean Gonzalez

Title

Clinic Administrator

Phone

(352) 732-5590

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Catherine Goodman, PT

  • Physical Therapist
  • Daytona Beach, FL
  • NPI 1811557952
  NPD (past)

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1861925570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 SE 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714607",
            "telephone_number": "352-732-5590",
            "fax_number": "352-732-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 CR 466",
            "address_2": "C-301",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321593215",
            "telephone_number": "352-732-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA SPINE & INJURY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "352-732-5590"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2590662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Florida Intensivist Group, LLC
• Central Florida Oral Surgery PLLC
• Central Florida Plastic Surgery PA
• Central Florida Premier Eye Associates
• Central Florida Premier Eye Associates (Lake Eye Associates)
• Central Florida Therapy Associates, LLC
• Karen Louise Chabrier, MD
• Francis Leonel Chalas Hungria, MD
• Mary Ellen Chamberlain, RPH
• Jaimie Lynn Chamberlin, APRN

• Nurse Practitioner in The Villages, FL
• Providers in The Villages, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.