=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568883601
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEUROSPINAL INSTITUTE OF FLORIDA INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/16/2013
-----------------------------------------------------
Last Update Date | 04/30/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5311 SPRING HILL DR
-----------------------------------------------------
City | SPRING HILL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34606-4558
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-398-1231
-----------------------------------------------------
Fax | 352-398-1233
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5311 SPRING HILL DR
-----------------------------------------------------
City | SPRING HILL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34606-4558
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-398-1231
-----------------------------------------------------
Fax | 352-398-1233
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/OWNER
-----------------------------------------------------
Name | DR. VINCENT DEPASQUALE
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 352-398-1231
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111NR0400X
-----------------------------------------------------
Taxonomy Name | Rehabilitation Chiropractor
-----------------------------------------------------
License Number | CH8897
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------