Spaulding Medical Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP2810642 Issued in FL

Legal business name

SPAULDING MEDICAL INC

Practice address

16901 SW 76TH Ave
Palmetto Bay, FL 33157-4802

Phone

(305) 790-3108

NPI assigned

Oct 1, 2010

Organization subpart

No

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

Authorized official

Name

Jodi Spaulding, ARNP

Title

President

Phone

(305) 790-3108

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1144539693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16901 SW 76TH AVE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331574802",
            "telephone_number": "305-790-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16901 SW 76TH AVE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331574802",
            "telephone_number": "305-790-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPAULDING MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "SPAULDING",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-790-3108",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2810642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE",
            "identifier": "ARNP2810642",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.