Organization Active NPI

FL Spine & Medical Center, PLLC

  • Family Medicine Physician
  • Clearwater, FL
National Provider Identifier
1942746763
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS5165 Issued in FL
Legal business name
FL SPINE & MEDICAL CENTER, PLLC
Practice address
1531 S Missouri Ave
Clearwater, FL 33756-2236
Phone
(727) 799-2225
Fax
(727) 799-2226
NPI assigned
Jan 18, 2017
Last updated
Jan 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Dr. Mark Kantzler, D.O.
Title
MGR
Phone
(727) 799-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS5165 FL Primary

Addresses

Primary practice location

1531 S Missouri Ave
Clearwater, FL 33756-2236

Mailing address

1531 S Missouri Ave
Clearwater, FL 33756-2236
Phone (727) 799-2225

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1942746763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 S MISSOURI AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337562236",
            "telephone_number": "727-799-2225",
            "fax_number": "727-799-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 S MISSOURI AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337562236",
            "telephone_number": "727-799-2225",
            "fax_number": "727-799-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FL SPINE & MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "KANTZLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "727-799-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.