MEDICARE: BIOSPINE ORLANDO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1841755436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIOSPINE ORLANDO

Provider Business Mailing Address
First Line	:	3902 MILLENIA BLVD STE 100
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-6407
Country	:	US
Telephone Number	:	407-449-8620
Fax Number	:	813-443-8255

Provider Business Practice Location Address
First Line	:	3900 MILLENIA BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-6407
Country	:	US
Telephone Number	:	407-449-8620
Fax Number	:

Authorized Official
Title or Position	:	BOARD MEMBER
Name	:	WILLIAM MILO
Credential	:
Telephone Number	:	239-249-4941

Provider Enumeration Date	:	02/07/2019
Last Update Date	:	05/27/2026

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Directions to “BIOSPINE ORLANDO ” Practice Location

Language	Start Address	Practice Location

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