Organization Active NPI

Seymour Spine & Rehabilitation

  • Interventional Pain Medicine Physician
  • Sunrise, FL
National Provider Identifier
1083054126
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME97055 Issued in FL
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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.NPI 1548285893
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.