Minimally Invasive Surgery Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

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

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.

Title

Surgeon

Phone

(954) 797-4220

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Minimally Invasive Surgery Inc 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.

• 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274253500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "71634",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minimally Invasive Surgery Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Milstein, R.PH.
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• Chantelle Minto
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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.