Organization
INTERVENTIONAL SPINE INSTITUTE OF FLORIDA, PA
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
40 ALEXANDRIA BLVD, SUITE 1030, OVIEDO, FL 32765-3300
(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
174400000X
Specialist
Primary
60952
FL
332B00000X
Durable Medical Equipment & Medical Supplies
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
08/06/2014
Last updated
03/07/2023
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