Provider Demographics
NPI:1144362062
Name:HESS SPINAL & MEDICAL CENTERS, PA
Entity type:Organization
Organization Name:HESS SPINAL & MEDICAL CENTERS, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:HESS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-443-4377
Mailing Address - Street 1:901 N HERCULES AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-2031
Mailing Address - Country:US
Mailing Address - Phone:727-443-4377
Mailing Address - Fax:727-467-9686
Practice Address - Street 1:901 N HERCULES AVE
Practice Address - Street 2:SUITE A
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-2031
Practice Address - Country:US
Practice Address - Phone:727-442-5569
Practice Address - Fax:727-447-7136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7356111N00000X
FLCH2814111N00000X
FLCH10000111N00000X
FLME34506174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty