Organization Active NPI

Integrated Spine and Pain Center of Florida Inc

  • General Practice Physician
  • Wesley Chapel, FL
National Provider Identifier
1942675251
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
INTEGRATED SPINE AND PAIN CENTER OF FLORIDA INC
Practice address
29141 Chapel Park Dr
Wesley Chapel, FL 33543-4423
Phone
(813) 994-5200
NPI assigned
Dec 11, 2015
Last updated
Feb 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Authorized official

Name
Garrett L Soldano, DCNPI 1568620656
Title
President
Phone
(269) 381-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X
Chiropractor 111N00000X
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

29141 Chapel Park Dr
Wesley Chapel, FL 33543-4423

Mailing address

29141 Chapel Park Dr
Wesley Chapel, FL 33543-4423
Phone (813) 994-5200

National Provider Directory

National Provider Directory

Locations

23548 Sr 54
Lutz, FL 33559
Phone (813) 803-3255

29141 Chapel Park Dr
Wesley Chapel, FL 33543
Phone (347) 671-5161

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1942675251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29141 CHAPEL PARK DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335434423",
            "telephone_number": "813-994-5200",
            "fax_number": "813-994-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29141 CHAPEL PARK DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335434423",
            "telephone_number": "813-994-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SPINE AND PAIN CENTER OF FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "SOLDANO",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-381-2800",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.