| Total Spine & Orthopedics | |
|
709 S Harbor City Blvd Ste 110 Melbourne FL 32901-1938 | |
| (321) 499-4646 | |
| Not Available |
| Full Name | Total Spine & Orthopedics |
|---|---|
| Speciality | Clinic/Center |
| Location | 709 S Harbor City Blvd Ste 110, Melbourne, Florida |
| Authorized Official Name and Position | John Stewart (CEO/CFO) |
| Authorized Official Contact | 8137315143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Spine & Orthopedics 709 S Harbor City Blvd Ste 110 Melbourne FL 32901-1938 Ph: (321) 499-4646 | Total Spine & Orthopedics 709 S Harbor City Blvd Ste 110 Melbourne FL 32901-1938 Ph: (321) 499-4646 |
| NPI Number | 1851907828 |
|---|---|
| Provider Enumeration Date | 09/16/2020 |
| Last Update Date | 09/25/2023 |
| Medicare PECOS PAC ID | 9931516804 |
|---|---|
| Medicare Enrollment ID | O20220505000461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851907828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Dennis Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649332149 PECOS PAC ID: 7012973217 Enrollment ID: I20080925000511 |
| Provider Name | Donald H Vliegenthart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003964222 PECOS PAC ID: 3678635083 Enrollment ID: I20081218000586 |
| Provider Name | Melissa A Burgos-martir |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1821390584 PECOS PAC ID: 1658647755 Enrollment ID: I20171017002786 |
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