=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124973185
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VEO SURGICAL SPINE AND ORTHOPEDIC, LLC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/03/2026
-----------------------------------------------------
Last Update Date | 03/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 885 N POWERS DR STE A
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32818-6842
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-716-0219
-----------------------------------------------------
Fax | 407-668-4847
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 885 N POWERS DR STE A
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32818-6842
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-716-0219
-----------------------------------------------------
Fax | 407-668-4847
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | BEVERLY AUGUSTIN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 407-716-0219
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111NX0800X
-----------------------------------------------------
Taxonomy Name | Orthopedic Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------