NPIMap

Organization Active NPI

Florida Joint & Spine Institute PA

  • Orthopaedic Surgery Physician
  • Sebring, FL
National Provider Identifier
1992705487
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
FLORIDA JOINT & SPINE INSTITUTE PA
Practice address
5115 US Highway 27 N Ste 100
Sebring, FL 33870-1323
Phone
(863) 385-2222
Fax
(863) 382-8765
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Juan Carlos Alvarez, MDNPI 1356458707
Title
Authorized Official
Phone
(863) 385-2222

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X
Multi-Specialty Clinic/Center 261QM1300X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

5115 US Highway 27 N Ste 100
Sebring, FL 33870-1323

Mailing address

5115 US Highway 27 N Ste 100
Sebring, FL 33870-1323
Phone (863) 385-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031222000840 FL Part B Supplier - Clinic/Group Practice 0547168114 Receives reassigned benefits from 15 practitioners
Practice locations: Winter Haven, FL; Sebring, FL
O20100930098560 FL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0547168114 Practice locations: Sebring, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2242615Florida Joint and Spine Institute, PA5115 US Hwy 27 N, Sebring, FL 33870Certificate of waiverNov 9, 2027

National Provider Directory

National Provider Directory

Locations

1204 Carlton Ave
Lake Wales, FL 33853
Phone (863) 214-7853

6380 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone (863) 324-0205

146 Avenue B NW
Winter Haven, FL 33881
Phone (863) 229-3210

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1992705487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 US HIGHWAY 27 N STE 100",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701323",
            "telephone_number": "863-385-2222",
            "fax_number": "863-382-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 US HIGHWAY 27 N STE 100",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701323",
            "telephone_number": "863-385-2222",
            "fax_number": "863-382-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA JOINT & SPINE INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "863-385-2222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "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
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.