Organization Active NPI

South Florida Chiropractic & Rehabilitation Inc

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1003096207
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8413 Issued in FL
Legal business name
SOUTH FLORIDA CHIROPRACTIC & REHABILITATION INC
Practice address
299 W. Camino Gardens Blvd
Suite 103
Boca Raton, FL 33432-5822
Phone
(561) 395-9299
Fax
(561) 395-7995
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Natalia Fano
Title
Office Manager
Phone
(561) 395-9299

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH8413 FL Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME37335 FL

Addresses

Primary practice location

299 W. Camino Gardens Blvd
Suite 103
Boca Raton, FL 33432-5822

Mailing address

299 W. Camino Gardens Blvd
Suite 103
Boca Raton, FL 33432-5822
Phone (561) 395-9299

Other identifiers 1

IdentifierTypeStateIssuer
79651OtherFLBCBS PIN

Other names 1

  • Boca Spine & Wellness Center Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050713000338 FL Part B Supplier - Clinic/Group Practice 8224064019 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

299 Camino Gardens Blvd
Ste 103A
Boca Raton, FL 33432
Phone (561) 395-9299

299 Camino Gardens Blvd
Ste 103
Boca Raton, FL 33432
Phone (561) 395-9299

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1003096207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 W. CAMINO GARDENS BLVD",
            "address_2": "SUITE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325822",
            "telephone_number": "561-395-9299",
            "fax_number": "561-395-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 W. CAMINO GARDENS BLVD",
            "address_2": "SUITE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325822",
            "telephone_number": "561-395-9299",
            "fax_number": "561-395-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA CHIROPRACTIC & REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "FANO",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-395-9299",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8413",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME37335",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "79651",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boca Spine & Wellness Center Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.