Healthcare Provider Details

I. General information

NPI: 1689495962
Provider Name (Legal Business Name): ALL SPINE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2024
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 SW 34TH CIR STE 302
OCALA FL
34474-6615
US

IV. Provider business mailing address

2801 SE 1ST AVE STE 302
OCALA FL
34471-0478
US

V. Phone/Fax

Practice location:
  • Phone: 352-537-8868
  • Fax: 833-974-2140
Mailing address:
  • Phone: 352-537-8868
  • Fax: 833-974-2140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LINDA MI COOLEY
Title or Position: C.O.O.
Credential:
Phone: 727-474-7411