Miami Spine Center, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MIAMI SPINE CENTER, PA

Practice address

15680 SW 88TH St Ste 201
Miami, FL 33196-1160

Phone

(305) 432-1911

Fax

(305) 255-1222

NPI assigned

Mar 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr Kevin K Reiseck, DC

Title

Owner

Phone

(305) 432-1911

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1083075857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772467",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331770042",
            "telephone_number": "305-432-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15680 SW 88TH ST STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961160",
            "telephone_number": "305-432-1911",
            "fax_number": "305-255-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI SPINE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "REISECK",
        "authorized_official_first_name": "DR KEVIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-432-1911",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Miami Sunset Surgery Center,LLC
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• Chiropractor in Miami, FL
• Providers in Miami, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.