Florida Spine Associates LLC

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

Organization subpart

No

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

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 4

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

• Florida Spine Associates LLC

  • Orthopaedic Surgery of the Spine Physician
  • West Palm Beach, FL
  • NPI 1437837259

  8426402819

  Same PAC ID
• Florida Spine Associates LLC

  • Orthopaedic Surgery of the Spine Physician
  • Boynton Beach, FL
  • NPI 1467130278

  8426402819

  Same PAC ID
• Florida Spine Associates LLC

  • Orthopaedic Surgery of the Spine Physician
  • Boca Raton, FL
  • NPI 1851079677

  8426402819

  Same PAC ID
• Florida Spine Associates LLC

  • Orthopaedic Surgery of the Spine Physician
  • Wellington, FL
  • NPI 1992483630

  8426402819

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

• Florida Spine Associates LLC

  • Orthopaedic Surgery of the Spine Physician
  • Fort Lauderdale, FL
  • NPI 1215789060

  O20231004001433

  Same enrollment

Locations

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Milad Alam, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Boca Raton, FL
  • NPI 1699118869
  Medicare reassignment Care Compare group NPD
• Michael B. Auerbach, D.O.

  • Interventional Pain Medicine Physician
  • Boynton Beach, FL
  • NPI 1306157201
  Medicare reassignment Care Compare group NPD
• Daniel Todd Burkholz, P.A.-C

  • Surgical Physician Assistant
  • Boca Raton, FL
  • NPI 1427141936
  Medicare reassignment Care Compare group NPD
• Brian J Burrough, MD

  • Interventional Pain Medicine Physician
  • Boca Raton, FL
  • NPI 1881867463
  Medicare reassignment Care Compare group NPD
• Sue Shin Cohn, M.D.

  • Interventional Pain Medicine Physician
  • West Palm Beach, FL
  • NPI 1609075316
  Medicare reassignment Care Compare group NPD
• Montchir Richard Devilas, PA-C

  • Physician Assistant
  • Boca Raton, FL
  • NPI 1215738141
  Medicare reassignment Care Compare group NPD
• Arthur L Germain, MD

  • Orthopaedic Surgery Physician
  • Boca Raton, FL
  • NPI 1952364473
  Medicare reassignment Care Compare group NPD
• Jonathan Richard Kamerlink, MD

  • Interventional Pain Medicine Physician
  • Boca Raton, FL
  • NPI 1245462670
  Medicare reassignment Care Compare group NPD
• Seth Andrew Macmahon, MD

  • Interventional Pain Medicine Physician
  • Boca Raton, FL
  • NPI 1992123590
  Medicare reassignment Care Compare group NPD
• Robert Patrick Norton, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Boca Raton, FL
  • NPI 1972798379
  Medicare reassignment Care Compare group NPD
• Kenneth Pooa

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1932875614
  Medicare reassignment Care Compare group NPD
• Kendra Jean Primavera, PA-C

  • Physician Assistant
  • Boca Raton, FL
  • NPI 1457004889
  Medicare reassignment Care Compare group NPD

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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY 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": []
}

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• Orthopaedic Surgery of the Spine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Orthopaedic Surgery of the Spine Physician in Florida

• 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.