NPIMap

Organization Active NPI

Tenet Florida Physician Services, LLC

  • Neurological Surgery Physician
  • West Palm Beach, FL
National Provider Identifier
1093049223
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
TENET FLORIDA PHYSICIAN SERVICES, LLC
Practice address
5305 Greenwood Ave
Ste 203
West Palm Beach, FL 33407-2451
Phone
(561) 882-6070
NPI assigned
Sep 21, 2009
Last updated
Sep 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Authorized official

Name
Mr. J. Scott Richardson
Title
SVP, Ops Finance & Pmi, Tenet
Phone
(469) 893-6960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

5305 Greenwood Ave
Ste 203
West Palm Beach, FL 33407-2451

Mailing address

5810 Coral Ridge Dr
Ste 300
Coral Springs, FL 33076-3374
Phone (954) 509-3650

National Provider Directory

National Provider Directory
Tax ID family
Tenet Florida Physician Services LLC27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

5305 Greenwood Ave
Ste 203
West Palm Beach, FL 33407
Phone (561) 641-8787

NPI Registry JSON

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1093049223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 CORAL RIDGE DR",
            "address_2": "STE 300",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763374",
            "telephone_number": "954-509-3650",
            "fax_number": "954-796-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 GREENWOOD AVE",
            "address_2": "STE 203",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072451",
            "telephone_number": "561-882-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENET FLORIDA PHYSICIAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "SVP, OPS FINANCE & PMI, TENET",
        "authorized_official_telephone_number": "469-893-6960",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.