Provider Type Icon

MICHAEL J BROOM M.D. P.A. NPI 1881874154


NPI Information

NPI: 1881874154
Provider Name: MICHAEL J BROOM M.D., P.A.

Doing Business As: FLORIDA SPINECARE CENTER

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 10D1100239

Address:
1405 S ORANGE AVE
SECOND FLOOR
ORLANDO, FL
ZIP 32806
Phone: (407) 481-2244
Get Directions

MICHAEL J BROOM M.D., P.A. is a specialist in Orlando, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MICHAEL J BROOM M.D., P.A. NPI is 1881874154. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Florida Spinecare Center.

The provider's business location address is:

1405 S ORANGE AVE
SECOND FLOOR
ORLANDO, FL
ZIP 32806-154
Phone: (407) 481-2244
Fax: (407) 481-8160

The provider's authorized official is Chris Byrnes .
The authorized official title is Addmin and has the following contact phone number (407) 481-2244.

The CLIA number assigned to this NPI record is 10D1100239 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2007 and was last updated on 4/6/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistME0052975FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K0019MEDICARE PINFLORIDA
2D16920MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.