FLORIDA MEDICAL ORTHOPEDIC AND SPINE INSTITUTE
NPI 1669366779
Clinic/Center in Lake Mary, FL

Active since June 04, 2025CLIA 10D2327750 · Waiver
1210 S INTERNATIONAL PKWY STE 174, LAKE MARY, FL 32746(407) 738-1575 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Florida Medical Orthopedic And Spine Institute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLORIDA MEDICAL ORTHOPEDIC AND SPINE INSTITUTE (NPI 1669366779) is a healthcare organization registered as a clinic/center in Lake Mary, Florida and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through July 28, 2027 and lists Rebekah Jackson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1669366779
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFLORIDA MEDICAL ORTHOPEDIC AND SPINE INSTITUTE
Location Address1210 S INTERNATIONAL PKWY STE 174Lake Mary, FL 32746-1691
Mailing Address1210 S International Pkwy Ste 174Lake Mary, FL 32746-1691 · (407) 738-1575
Organization SubpartNo
Authorized OfficialRebekah JacksonVice President · (407) 738-1575
Enumeration DateJune 4, 2025
Last NPPES UpdateJune 5, 2025
NPPES CertifiedJune 5, 2025
NPI 1669366779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1210 S INTERNATIONAL PKWY STE 174, Lake Mary, FL 32746

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2327750

Florida Medical Orthopedic And Spine Institute LLC · Lake Mary, FL
Active · expires Jul 28, 2027
CLIA Number10D2327750
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2025
Certificate Expiration DateJuly 28, 2027
Laboratory DirectorAndrew Appel
Laboratory Phone(407) 738-1575
Laboratory LocationFlorida Medical Orthopedic And Spine Institute LLC1210 S International Pkwy, Suite 174, Lake Mary, FL 32746
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1210 S INTERNATIONAL PKWY STE 174
LAKE MARY, FL 32746

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Florida Medical Orthopedic And Spine Institute's NPI number?

The NPI number for Florida Medical Orthopedic And Spine Institute is 1669366779. It was assigned to this organization in the NPPES registry on June 4, 2025.

Where is Florida Medical Orthopedic And Spine Institute located?

Florida Medical Orthopedic And Spine Institute is located at 1210 S International Pkwy Ste 174, Lake Mary, FL 32746. The listed phone number is (407) 738-1575.

What is Florida Medical Orthopedic And Spine Institute's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Florida Medical Orthopedic And Spine Institute hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2327750) is associated with this NPI, valid through July 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Florida Medical Orthopedic And Spine Institute was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.