Complete Medical Spinal Rehab Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

COMPLETE MEDICAL SPINAL REHAB INC

Practice address

12975 Collier Blvd Ste 107
Naples, FL 34116-4004

Phone

(239) 455-4181

Fax

(239) 455-3896

NPI assigned

Jul 31, 2014

Organization subpart

No

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

Authorized official

Name

Vince Cancelosa

Title

President

Phone

(239) 455-4181

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1982012134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12975 COLLIER BLVD STE 107",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341164004",
            "telephone_number": "239-455-4181",
            "fax_number": "239-455-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12975 COLLIER BLVD STE 107",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341164004",
            "telephone_number": "239-455-4181",
            "fax_number": "239-455-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE MEDICAL SPINAL REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "CANCELOSA",
        "authorized_official_first_name": "VINCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-455-4181"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Naples, FL
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.