Broward Surgical Services Inc.

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

RN9216868 Issued in FL

Legal business name

BROWARD SURGICAL SERVICES INC.

Practice address

16900 N Bay Rd
Suite 1401
Sunny Isles Beach, FL 33160-4252

Phone

(954) 416-1781

Fax

(954) 416-1782

NPI assigned

Apr 24, 2015

Last updated

Apr 24, 2015By 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

Ronaldo Valencia, RNFA

Title

PD

Phone

(954) 416-1781

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1245627405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16900 N BAY RD",
            "address_2": "SUITE 1401",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604252",
            "telephone_number": "954-416-1781",
            "fax_number": "954-416-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16900 N BAY RD",
            "address_2": "SUITE 1401",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604252",
            "telephone_number": "954-416-1781",
            "fax_number": "954-416-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD SURGICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "RONALDO",
        "authorized_official_title_or_position": "PD",
        "authorized_official_telephone_number": "954-416-1781",
        "authorized_official_credential": "RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "RN9216868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "RN9216868",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse First Assistant in Sunny Isles Beach, FL
• Providers in Sunny Isles Beach, FL by specialty
• Registered Nurse First Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.