Christos Doctors Inn Walk in Health Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

L09000083502 Issued in FL

Legal business name

CHRISTOS DOCTORS INN WALK IN HEALTH CARE LLC

Practice address

8019 W Sample Rd
Coral Springs, FL 33065-4750

Phone

(954) 969-9903

NPI assigned

Oct 8, 2009

Last updated

Jul 4, 2011By 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. Christopher Jacob Smith, D.ONPI 1366681892

Title

Managing Member

Phone

(954) 969-9903

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Christopher Jacob Smith, D.O

  • Dermatology Physician
  • Lauderhill, FL
  • NPI 1366681892
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309737600000",
    "number": "1215262233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8019 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654750",
            "telephone_number": "954-969-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8019 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654750",
            "telephone_number": "954-969-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOS DOCTORS INN WALK IN HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2011-07-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "954-969-9903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "L09000083502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian R Le Bienvenu M D PA
• Eva Christian
• Joanne Christiana, O.D.
• Christine F. Edwards, M.D., P.a
• Christopher Woodman PH D PA
• Jana Chusid
• Bianca Skye Ciancio
• Cicarelli Counseling Services, LLC
• Magdalena R Cicarelli, LCSW
• Cima Dental LLC

• Primary Care Clinic/Center in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.