Healthcare Provider Details

I. General information

NPI: 1568883601
Provider Name (Legal Business Name): NEUROSPINAL INSTITUTE OF FLORIDA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2013
Last Update Date: 04/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5311 SPRING HILL DR
SPRING HILL FL
34606-4558
US

IV. Provider business mailing address

5311 SPRING HILL DR
SPRING HILL FL
34606-4558
US

V. Phone/Fax

Practice location:
  • Phone: 352-398-1231
  • Fax: 352-398-1233
Mailing address:
  • Phone: 352-398-1231
  • Fax: 352-398-1233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCH8897
License Number StateFL

VIII. Authorized Official

Name: DR. VINCENT DEPASQUALE
Title or Position: PRESIDENT/OWNER
Credential: DC
Phone: 352-398-1231