# INTEGRITY SPINE AND ORTHOPEDICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356108989
- **Authorized official:** MATTHEW TERRY (PRESIDENT/COO)
- **Authorized official phone:** (904) 456-0017

## Contact information

- **Practice address:** 1811 BLANDING BLVD STE 102, MIDDLEBURG, FL 32068-4935
- **Practice address phone:** (904) 456-0017
- **Practice address fax:** (904) 456-0018
- **Mailing address:** 14785 OLD SAINT AUGUSTINE RD STE 100, JACKSONVILLE, FL 32258-7407
- **Mailing address phone:** (904) 456-0017
- **Mailing address fax:** (904) 456-0018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207T00000X | Neurological Surgery Physician | — | NULL | — |
| 207T00000X | Neurological Surgery Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/29/2024
- **Last updated:** 08/30/2024