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NPI 1295623825

NPI 1295623825 : SPINE AND PAIN INSTITUTE OF NONA : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1295623825
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    Entity Type          |    Organization 
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    Legal Business Name  |    SPINE AND PAIN INSTITUTE OF NONA 
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Dates
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    Enumeration Date     |    06/24/2025
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    Last Update Date     |    10/31/2025
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Provider Practice Location Address
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    Address Line         |    5200 HOFFNER AVE 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32812-2432
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    Country              |    US
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    Telephone            |    407-326-6898
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    Fax                  |    407-326-6882
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Provider Business Mailing Address
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    Address Line         |    11954 NARCOOSSEE RD STE 2561O882 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32832-6998
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    Country              |    US
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    Telephone            |    407-326-6898
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    Fax                  |    407-326-6882
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Authorized Official
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    Title or Position    |    MD/CEO
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    Name                 |     BHARAT C PATEL 
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    Credential           |    MD
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    Telephone            |    407-326-6898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2081S0010X
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    Taxonomy Name        |    Sports Medicine (Physical Medicine & Rehabilitation) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    208VP0014X
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    Taxonomy Name        |    Interventional Pain Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    208VP0000X
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    Taxonomy Name        |    Pain Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    204R00000X
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    Taxonomy Name        |    Electrodiagnostic Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    2081P2900X
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    Taxonomy Name        |    Pain Medicine (Physical Medicine & Rehabilitation) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    
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    License Number State |    
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