Organization Active NPI

South Palm Plastic Surgery Associates, P.L.

  • Plastic Surgery Physician
  • Boca Raton, FL
National Provider Identifier
1114098753
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
OS7441 Issued in FL
Legal business name
SOUTH PALM PLASTIC SURGERY ASSOCIATES, P.L.
Practice address
1000 NW 9TH CT
Suite 202
Boca Raton, FL 33486-2268
Phone
(561) 361-0065
Fax
(561) 347-1945
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Anthony Nicholas Dardano, D.O.
Title
Manager
Phone
(561) 361-0065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X OS7441 FL Primary

Addresses

Primary practice location

1000 NW 9TH CT
Suite 202
Boca Raton, FL 33486-2268

Mailing address

1000 NW 9TH CT
Suite 202
Boca Raton, FL 33486-2268
Phone (561) 361-0065

National Provider Directory

National Provider Directory

Locations

1000 NW 9th Ct
Ste 202
Boca Raton, FL 33486
Phone (305) 978-6087

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114098753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NW 9TH CT",
            "address_2": "SUITE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862268",
            "telephone_number": "561-361-0065",
            "fax_number": "561-347-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NW 9TH CT",
            "address_2": "SUITE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862268",
            "telephone_number": "561-361-0065",
            "fax_number": "561-347-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PALM PLASTIC SURGERY ASSOCIATES, P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DARDANO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-361-0065",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "OS7441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.