Pompano Spine Associates, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

POMPANO SPINE ASSOCIATES, LLC

Practice address

150 SW 12TH Ave
Suite101
Pompano Beach, FL 33069-3298

Phone

(954) 366-5752

Fax

(954) 933-2657

NPI assigned

Oct 7, 2014

Organization subpart

No

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

Authorized official

Name

Don Ferris

Title

Office Manager

Phone

(954) 366-5752

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1194128967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SW 12TH AVE",
            "address_2": "SUITE101",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693298",
            "telephone_number": "954-366-5752",
            "fax_number": "954-933-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SW 12TH AVE",
            "address_2": "SUITE101",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693298",
            "telephone_number": "954-366-5752",
            "fax_number": "954-933-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMPANO SPINE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "FERRIS",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-366-5752"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pompano Medical Center,Inc
• Pompano Medical Specialty Group
• Pompano Medical Supply Inc
• Pompano Physical Rehabilitation Center, Inc
• Pompano Spine and Wellness, PA
• Cathy Ponczek, LMFT, CAP
• Ponder & Associates Inc
• Constance Ponder
• Alejandro Pontino
• Shantel T Poole

• Internal Medicine Physician in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.