Organization Active NPI

Spine Specialists of Florida LLC

  • Orthopaedic Surgery of the Spine Physician
  • Orlando, FL
National Provider Identifier
1891496725
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
SPINE SPECIALISTS OF FLORIDA LLC
Practice address
8810 Commodity Cir Ste 25
Orlando, FL 32819-9066
Phone
(407) 487-8610
Fax
(407) 487-8605
NPI assigned
Mar 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Brenda Sellnow
Title
Admin
Phone
(321) 236-8004

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X Primary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

Primary practice location

8810 Commodity Cir Ste 25
Orlando, FL 32819-9066

Mailing address

30200 Telegraph Rd Ste 456
Bingham Farms, MI 48025-4506
Phone (407) 487-8610

Other practice location 1

130 Ridge Center Dr Ste 207
Davenport, FL 33837-6416
Phone (407) 487-8610

Other practice location 2

3700 Washington St Ste 400
Hollywood, FL 33021-8289
Phone (754) 270-5950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251111001734 FL Part B Supplier - Clinic/Group Practice 3375034002 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

8810 Commodity Cir
Ste 25
Orlando, FL 32819
Phone (407) 487-8610

6001 Vineland Rd
Ste 116
Orlando, FL 32819
Phone (407) 351-1888

32406 Franklin Rd
Unit 250493
Franklin, MI 48025

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1891496725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD STE 456",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254506",
            "telephone_number": "407-487-8610",
            "fax_number": "407-487-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8810 COMMODITY CIR STE 25",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199066",
            "telephone_number": "407-487-8610",
            "fax_number": "407-487-8605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Ridge Center Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338376416",
            "country_code": "US",
            "telephone_number": "407-487-8610",
            "fax_number": "407-487-8605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 Washington St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330218289",
            "country_code": "US",
            "telephone_number": "754-270-5950",
            "fax_number": "754-270-5955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPINE SPECIALISTS OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "SELLNOW",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "321-236-8004"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.