Active NPI
MD Spine Now, LLC
- Orthopaedic Surgery of the Spine Physician
- Lake Worth, FL
National Provider Identifier
1073944583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- Legal business name
- MD SPINE NOW, LLC
- Practice address
- 3618 Lantana Rd
Suite 101
Lake Worth, FL 33462-2246 - Phone
- (561) 298-1188
- Fax
- (855) 440-2220
- NPI assigned
- Dec 9, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacquelin Walker
- Title
- Office Administrator
- Phone
- (561) 296-1188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | Primary |
Addresses
Primary practice location
3618 Lantana Rd
Suite 101
Lake Worth, FL 33462-2246
Mailing address
3618 Lantana Rd
Suite 101
Lake Worth, FL 33462-2246
Phone (561) 298-1188
National Provider Directory
National Provider DirectoryLocations
3618 Lantana Rd
Ste 101
Lake Worth, FL 33462
Phone (561) 298-1188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386547200000",
"number": "1073944583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3618 LANTANA RD",
"address_2": "SUITE 101",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334622246",
"telephone_number": "561-298-1188",
"fax_number": "855-440-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3618 LANTANA RD",
"address_2": "SUITE 101",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334622246",
"telephone_number": "561-298-1188",
"fax_number": "855-440-2220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD SPINE NOW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-09",
"last_updated": "2013-12-09",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "JACQUELIN",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "561-296-1188"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.