NPIMap

Organization Active NPI

Florida Spine Associates LLC

  • Orthopaedic Surgery of the Spine Physician
  • Boca Raton, FL
National Provider Identifier
1225675804
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
FLORIDA SPINE ASSOCIATES LLC
Practice address
670 Glades Rd Ste 200
Boca Raton, FL 33431-6464
Phone
(561) 495-9511
Fax
(561) 990-7426
NPI assigned
Dec 3, 2019
Last updated
Sep 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Brittany Rosario
Title
Practice Manager
Phone
(561) 495-9511

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X
Orthopaedic Surgery of the Spine Physician 207XS0117X Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
Interventional Pain Medicine Physician 208VP0014X
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

670 Glades Rd Ste 200
Boca Raton, FL 33431-6464

Mailing address

670 Glades Rd Ste 200
Boca Raton, FL 33431-6464
Phone (561) 495-9511

Other practice location 1

1414 SE 3rd Ave
Ft Lauderdale, FL 33316-1910
Phone (561) 495-9511

Other practice location 2

11135 S Jog Rd Ste 5
Boynton Beach, FL 33437-1817
Phone (561) 495-9511 ext. 56149

Other practice location 3

5210 Linton Blvd Ste 304
Delray Beach, FL 33484-6537
Phone (561) 495-9511

Other practice location 4

3319 S State Road 7 Ste 207
Wellington, FL 33449-8146
Phone (561) 495-9511

Other practice location 5

5800 Corporate Way
West Palm Beach, FL 33407-2004
Phone (561) 495-9511

Other practice location 6

7200 Camino Real Ste 104
Boca Raton, FL 33433-5511
Phone (561) 495-9511

Other practice location 7

160 John F Kennedy Dr Ste 204
Atlantis, FL 33462-6633
Phone (561) 495-9511

Other identifiers 1

IdentifierTypeStateIssuer
1396830386OtherFLWORKERS COMP AND AUTO

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.floridaspineassociates.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231004001433 FL Part B Supplier - Clinic/Group Practice 8426402819 Receives reassigned benefits from 29 practitioners
1 other NPI on this enrollment
Practice locations: Boca Raton, FL; Boynton Beach, FL; Delray Beach, FL; Fort Lauderdale, FL; Wellington, FL; West Palm Beach, FL; Atlantis, FL
O20240812001713 FL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 8426402819 Practice locations: Boca Raton, FL

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1414 SE 3rd Ave
Ft Lauderdale, FL 33316
Phone (954) 764-8033

6000 N Federal Hwy
Ft Lauderdale, FL 33308

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1225675804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 GLADES RD STE 200",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316464",
            "telephone_number": "561-495-9511",
            "fax_number": "561-990-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 GLADES RD STE 200",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316464",
            "telephone_number": "561-495-9511",
            "fax_number": "561-990-7426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 SE 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333161910",
            "country_code": "US",
            "telephone_number": "561-495-9511",
            "fax_number": "561-990-7426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11135 S Jog Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334371817",
            "country_code": "US",
            "telephone_number": "561-495-9511 x56149",
            "fax_number": "561-990-7426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5210 Linton Blvd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334846537",
            "country_code": "US",
            "telephone_number": "561-495-9511",
            "fax_number": "561-990-7426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3319 S State Road 7 Ste 207",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334498146",
            "country_code": "US",
            "telephone_number": "561-495-9511",
            "fax_number": "561-990-7426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5800 Corporate Way",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072004",
            "country_code": "US",
            "telephone_number": "561-495-9511",
            "fax_number": "561-990-7426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 Camino Real Ste 104",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334335511",
            "country_code": "US",
            "telephone_number": "561-495-9511",
            "fax_number": "561-990-7426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 John F Kennedy Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Atlantis",
            "state": "FL",
            "postal_code": "334626633",
            "country_code": "US",
            "telephone_number": "561-495-9511",
            "fax_number": "561-990-7426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA SPINE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "ROSARIO",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "561-495-9511"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP AND AUTO",
            "identifier": "1396830386",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.floridaspineassociates.com",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "BOYNTON BEACH",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "BOYNTON BEACH",
            "address_1": "670 Glades Rd Ste 200",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334316464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.