# INTERVENTIONAL SPINE INSTITUTE OF FLORIDA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Spine, Orthopedics and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093123127
- **Authorized official:** DR. BRIAN C DOWDELL M.D. (OWNER/CEO/PRESIDENT)
- **Authorized official phone:** (321) 733-0064

## Contact information

- **Practice address:** 1315 S INTERNATIONAL PKWY, SUITE 1111, LAKE MARY, FL 32746-1407
- **Practice address phone:** (321) 733-0064
- **Practice address fax:** (321) 733-7970
- **Mailing address:** 308 S HARBOR CITY BLVD, SUITE A, MELBOURNE, FL 32901-1500
- **Mailing address phone:** (321) 733-0064
- **Mailing address fax:** (321) 733-7970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 60952 | FL | Yes |

## Other

- **Enumeration date:** 08/01/2014
- **Last updated:** 03/07/2023
