FORTITUDE SPORT & SPINE
NPI 1346854007
Clinic/Center - Medical Specialty in Las Vegas, NV
- Organization
- Clinic/Center
- Medical Specialty
About FORTITUDE SPORT & SPINE
This page provides the complete NPI Profile along with additional information for Fortitude Sport & Spine, a provider established in Las Vegas, Nevada operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1346854007 assigned on September 2020. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Thomas Godfrey Dc (Medical Director)
- NPI
- 1346854007 Verify this NPI
- Provider Name
- FORTITUDE SPORT & SPINE
- Entity Type
- Organization
- Location Address
- 878 DANCING VINES AVE LAS VEGAS, NV 89183
- Location Phone
- (702) 449-9751
- Mailing Address
- 878 DANCING VINES AVE LAS VEGAS, NV 89183
- Mailing Phone
- (702) 449-9751
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-01-2020
- Last Update Date
- 09-01-2020
- Code Navigator
Location Map
Secondary Locations
- 8475 S Eastern Ave Ste 101
Las Vegas, NV 89123
(702) 898-3311
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346854007, enumerated as an "organization" on September 01, 2020.
The provider is located at 878 DANCING VINES AVE LAS VEGAS, NV 89183 and the phone number is (702) 449-9751.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
