Organization Active NPI

Biscayne Medical Group LLC

  • Ambulatory Surgical Clinic/Center
  • Coral Springs, FL
National Provider Identifier
1194250878
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
L17000093163 Issued in FL
Legal business name
BISCAYNE MEDICAL GROUP LLC
Practice address
5944 Coral Ridge Dr # 170
Coral Springs, FL 33076-3300
Phone
(954) 800-7350
Fax
(954) 827-0852
NPI assigned
May 1, 2017
Last updated
May 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
Nicole Arendt
Title
Manager
Phone
(954) 800-7350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X L17000093163 FL Primary

Addresses

Primary practice location

5944 Coral Ridge Dr # 170
Coral Springs, FL 33076-3300

Mailing address

5944 Coral Ridge Dr # 170
Coral Springs, FL 33076-3300
Phone (954) 800-7350

Other identifiers 1

IdentifierTypeStateIssuer
L17000093163OtherFLL17000093163

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1194250878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5944 CORAL RIDGE DR # 170",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763300",
            "telephone_number": "954-800-7350",
            "fax_number": "954-827-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5944 CORAL RIDGE DR # 170",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763300",
            "telephone_number": "954-800-7350",
            "fax_number": "954-827-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISCAYNE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "ARENDT",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-800-7350"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "L17000093163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L17000093163",
            "identifier": "L17000093163",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.