Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mis Neurospine LLC

Organization Surgery Physician · NPI 1629766969

Mis Neurospine LLC is a Surgery Physician in Fort Myers, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12468 Brantley Commons Ct
Fort Myers, FL 33907-5663
Phone: (239) 236-8933
Fax: (407) 650-2731
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1629766969
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Curtis Beauregard — Owner · (239) 236-8933
NPI enumeratedApril 25, 2023
Last updated in NPPESApril 25, 2023
Certification dateApril 25, 2023
Mailing address1711 Amazing Way Ste 209, Ocoee, FL 34761-3491

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