Neurosursery & Orthopedic Institute of Florida LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

NEUROSURSERY & ORTHOPEDIC INSTITUTE OF FLORIDA LLC

Practice address

644 Cesery Blvd
Suite 310
Jacksonville, FL 32211

Phone

(904) 743-9222

Fax

(904) 743-9225

NPI assigned

Jul 14, 2020

Organization subpart

No

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

Authorized official

Name

Amos O Dare, MD PANPI 1063500015

Title

Doctor

Phone

(561) 844-0120

Specialties & licenses 1

Addresses

Other names 1

• Amos O Dare. MD. PA Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amos Olabisi Dare, M.D.

  • Neurological Surgery Physician
  • Jacksonville, FL
  • NPI 1063500015
  NPD Authorized official

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1164030359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8185 VIA ANCHO RD",
            "address_2": "UNIT 880347",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33488",
            "telephone_number": "561-844-0120",
            "fax_number": "904-743-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 CESERY BLVD",
            "address_2": "SUITE 310",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32211",
            "telephone_number": "904-743-9222",
            "fax_number": "904-743-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURSERY & ORTHOPEDIC INSTITUTE OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "DARE",
        "authorized_official_first_name": "AMOS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "561-844-0120",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amos O Dare. MD. PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Neurological Surgery Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.