| North Orlando Spine Center, Llc | |
|
2170 W State Road 434 Ste 252, Longwood, FL 32779-4976 | |
| (407) 331-9913 | |
| (407) 331-9918 |
| Full Name | North Orlando Spine Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2170 W State Road 434 Ste 252, Longwood, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407083777 | NPI | - | NPPES |
| CV491A | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Amanda Connelly |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386873974 PECOS PAC ID: 6103967757 Enrollment ID: I20100105000580 |
| Provider Name | Nicole L Ingrando |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750522314 PECOS PAC ID: 1759416043 Enrollment ID: I20100311000799 |
| Provider Name | Aaron C Proctor |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487010690 PECOS PAC ID: 3870875743 Enrollment ID: I20170130001342 |
| Provider Name | Adam Alexander Sproat |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124535414 PECOS PAC ID: 5991066599 Enrollment ID: I20180222000894 |
| Provider Name | Juliana Elizabeth Mitchell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366045940 PECOS PAC ID: 9638583404 Enrollment ID: I20210208000733 |
| Mailing Address | Practice Location Address |
|---|---|
| North Orlando Spine Center, Llc 2170 W State Road 434 Ste 252, Longwood, FL 32779-4976 Ph: (407) 331-9913 | North Orlando Spine Center, Llc 2170 W State Road 434 Ste 252, Longwood, FL 32779-4976 Ph: (407) 331-9913 |
Dr. Lizabeth L Reddy, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 288 E Sr 434, Longwood, FL 32750 Phone: 407-736-9800 Fax: 407-736-9898 | |
Dr. Rosanell Merced, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 365 Wekiva Springs Rd Ste 231, Longwood, FL 32779 Phone: 407-230-6216 | |
Dr. Robert Sidney Weatherwax, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 159 Sabal Palm Drive, Longwood, FL 32779 Phone: 407-786-7246 Fax: 407-786-8861 | |
Kyle Pitstick, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 2711 W State Road 434, Longwood, FL 32779 Phone: 407-774-3311 | |
Leaf Medical Group Chiropractor Medicare: Medicare Enrolled Practice Location: 450 W State Road 434 Ste 2030, Longwood, FL 32750 Phone: 407-767-8200 | |
Rachel Iacofano, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 351 N Ronald Reagan Blvd Ste 1015, Longwood, FL 32750 Phone: 407-790-7990 | |
Robert Rosenberg P.a. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 250 S Ronald Reagan Blvd, Suite 104, Longwood, FL 32750 Phone: 407-767-6466 Fax: 407-767-2437 |