Brain and Spine Instate for Children
NPI 1104166735 · Preferred Provider Organization · Orlando, FL
Brain and Spine Instate for Children is a Preferred Provider Organization organization in Orlando, FL (NPI 1104166735).
Provider details
- NPI number
- 1104166735
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Keyne Johnson, Medical Director(407) 378-5100
- License
- ME 102412 (FL)
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Basic
Registry dates
- Enumerated
- 2013-02-19
- Last updated
- 2013-02-19
Frequently asked questions
- What is Brain and Spine Instate for Children's NPI number?
- Brain and Spine Instate for Children's National Provider Identifier (NPI) is 1104166735, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brain and Spine Instate for Children?
- Brain and Spine Instate for Children is classified in the NPPES registry as Preferred Provider Organization (Managed Care Organizations).
- Where is Brain and Spine Instate for Children located?
- Brain and Spine Instate for Children's practice location on file with NPPES is 2813 S Hiawassee Rd, Orlando, FL 32835-6300.
- What is Brain and Spine Instate for Children's phone number?
- The practice phone number listed in the NPPES registry for Brain and Spine Instate for Children is (407) 378-5100.
- Who is the authorized official for Brain and Spine Instate for Children?
- The authorized official listed on Brain and Spine Instate for Children's NPPES record is Keyne Johnson, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brain and Spine Instate for Children's NPI active?
- Yes — Brain and Spine Instate for Children's NPI (1104166735) is active in the NPPES registry as of the last update on 2013-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.