Organization Active NPI

Gulf Coast Spine & Orthopaedic Institute PLLC

  • Orthopaedic Surgery Physician
  • Naples, FL
National Provider Identifier
1962431031
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME82473 Issued in FL
Legal business name
GULF COAST SPINE & ORTHOPAEDIC INSTITUTE PLLC
Practice address
8340 Collier Blvd
Suite 203
Naples, FL 34114-3625
Phone
(239) 514-2642
Fax
(239) 514-2643
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
James B Manzanares, MDNPI 1689616989
Title
President/MD
Phone
(239) 514-2642

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X ME82473 FL Primary

Addresses

Primary practice location

8340 Collier Blvd
Suite 203
Naples, FL 34114-3625

Mailing address

PO Box 110788
Naples, FL 34108-0114
Phone (239) 514-2642

Other identifiers 1

IdentifierTypeStateIssuer
261490100MedicaidFL

National Provider Directory

National Provider Directory

Locations

11181 Health Park Blvd
Ste 3010
Naples, FL 34110
Phone (239) 302-3290

8340 Collier Blvd
Ste 203
Naples, FL 34114
Phone (239) 348-4396

Practitioners & affiliated clinicians

Practitioners 4

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": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1962431031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110788",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341080114",
            "telephone_number": "239-514-2642",
            "fax_number": "239-514-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 COLLIER BLVD",
            "address_2": "SUITE 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341143625",
            "telephone_number": "239-514-2642",
            "fax_number": "239-514-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST SPINE & ORTHOPAEDIC INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "MANZANARES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/MD",
        "authorized_official_telephone_number": "239-514-2642",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME82473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261490100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.