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ORTHOPEDIC & SPINE CENTER OF SOUTH FLORIDA LLC NPI 1811199698


NPI Information

NPI: 1811199698
Provider Name: ORTHOPEDIC & SPINE CENTER OF SOUTH FLORIDA LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
150 SW 12TH AVE
SUITE 410
POMPANO BEACH, FL
ZIP 33069
Phone: (954) 941-2679
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ORTHOPEDIC & SPINE CENTER OF SOUTH FLORIDA LLC is a specialist in Pompano Beach, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ORTHOPEDIC & SPINE CENTER OF SOUTH FLORIDA LLC NPI is 1811199698. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

150 SW 12TH AVE
SUITE 410
POMPANO BEACH, FL
ZIP 33069-298
Phone: (954) 941-2679
Fax: (954) 941-6169

The provider's authorized official is Robert Daniel Simon .
The authorized official title is Doctor and has the following contact phone number (954) 941-2679.

The enumeration date for this NPI number is 6/4/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistME0073142FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ME0073142OTHERFLORIDAMEDICAL LICENSE
21699857466OTHERFLORIDANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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