Active NPI
Seymour Spine & Rehabilitation
- Interventional Pain Medicine Physician
- Sunrise, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME97055
- Legal business name
- SEYMOUR SPINE & REHABILITATION
- Practice address
- 3225 N Hiatus Rd Unit 451988
Sunrise, FL 33345-8501 - Phone
- (770) 880-6514
- NPI assigned
- Jul 3, 2013
- Last updated
- Sep 30, 2024
- 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
- Andrea Rhonea Henley-Seymour, M.D.
- Title
- Manager
- Phone
- (770) 880-6514
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | ME97055 | FL | Primary |
Addresses
Primary practice location
3225 N Hiatus Rd Unit 451988
Sunrise, FL 33345-8501
Mailing address
3225 N Hiatus Rd Unit 451988
Sunrise, FL 33345-8501
Phone (770) 880-6514
National Provider Directory
National Provider DirectoryLocations
3225 N Hiatus Rd
Unit 451988
Sunrise, FL 33345
Phone (770) 880-6514
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine (Anesthesiology) Physician
- Plantation, FL
- NPI 1548285893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727654400000",
"number": "1083054126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3225 N HIATUS RD UNIT 451988",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333458501",
"telephone_number": "770-880-6514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3225 N HIATUS RD UNIT 451988",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333458501",
"telephone_number": "770-880-6514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEYMOUR SPINE & REHABILITATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-03",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A",
"authorized_official_last_name": "HENLEY-SEYMOUR",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "RHONEA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "770-880-6514",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME97055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.