Minimally Invasive Surgery Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MINIMALLY INVASIVE SURGERY INC

Doing business as

Minimally Invasive Surgery Inc

Practice address

4101 N.W. 4TH Street
Suite 401
Plantation, FL 33317-2813

Phone

(954) 797-4220

Fax

(954) 797-4221

NPI assigned

Mar 14, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronald E Moore Jr., M.D.NPI 1669542148

Title

Surgeon

Phone

(954) 797-4220

Specialties & licenses 1

Addresses

Other names 1

• Minimally Invasive Surgery Inc Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald E Moore Jr., MD

  • Surgery Physician
  • Fort Lauderdale, FL
  • NPI 1669542148
  Authorized official Same address or phone
• Susan Salahshor, PHD

  • Medical Physician Assistant
  • Jacksonville, FL
  • NPI 1043224611
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174656599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 N.W. 4TH STREET",
            "address_2": "SUITE 401",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172813",
            "telephone_number": "954-797-4220",
            "fax_number": "954-797-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 N.W. 4TH STREET",
            "address_2": "SUITE 401",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172813",
            "telephone_number": "954-797-4220",
            "fax_number": "954-797-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMALLY INVASIVE SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "954-797-4220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minimally Invasive Surgery Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Milstein, R.PH.
• Rachel Mindel, DPT
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• Chantelle Minto
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• Tameika Mirabelli, NP
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• Specialist in Plantation, FL
• Providers in Plantation, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.