Organization
INTERVENTIONAL SPINE INSTITUTE OF FLORIDA
Active
Organization
INTERVENTIONAL SPINE INSTITUTE OF FLORIDA
Active
Other names
Spine, Orthopedics and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN C DOWDELL M.D. (OWNER/CEO/PRESIDENT)
(321) 733-0064
Entity
Organization
Contact information
Practice address
1315 S INTERNATIONAL PKWY, SUITE 1111, LAKE MARY, FL 32746-1407
(321) 733-0064
(321) 733-7970
Mailing address
308 S HARBOR CITY BLVD, SUITE A, MELBOURNE, FL 32901-1500
(321) 733-0064
(321) 733-7970
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
60952
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10708014
CAQH
FL
01
—
1225060338
NPI GROUP
FL
01
—
1326453143
NPI-DME-MELBOURNE
FL
01
—
1639101744
NPI INDIVIDUAL
FL
01
—
K5708
MEDICARE GROUP
FL
01
—
ME76009
MEDICAL LICENSE
FL
Enumeration date
08/01/2014
Last updated
03/07/2023
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