Active NPI
Angelo Maffucci III, D.C
- Chiropractor
- Deerfield Beach, FL
National Provider Identifier
1215069588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8118
- Practice address
- 1265 South Military Trail
Suite 110
Deerfield Beach, FL 33442-7688 - Phone
- (954) 322-4212
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8118 | FL | Primary |
Addresses
Primary practice location
1265 South Military Trail
Suite 110
Deerfield Beach, FL 33442-7688
Mailing address
1265 S Military TRL Ste 110
Deerfield Beach, FL 33442-7688
Phone (954) 322-4212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8118 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302220800000",
"number": "1215069588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 S MILITARY TRL STE 110",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334427688",
"telephone_number": "954-322-4212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 SOUTH MILITARY TRAIL",
"address_2": "SUITE 110",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334427688",
"telephone_number": "954-322-4212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAFFUCCI",
"first_name": "ANGELO",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2011-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "8118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.