NPIMap

Organization Active NPI

Polo Medical Center

Doing business as South Florida Spine and Joint Centers

  • Rehabilitation Chiropractor
  • West Palm Beach, FL
National Provider Identifier
1245635978
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH0007758 Issued in FL
Legal business name
POLO MEDICAL CENTER
Doing business as
South Florida Spine and Joint Centers
Practice address
1501 Presidential Way Ste 19
West Palm Beach, FL 33401-1852
Phone
(561) 686-3201
NPI assigned
Oct 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Bruce Osler, DONPI 1831198571
Title
President
Phone
(561) 686-3201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X CH0007758 FL Primary

Addresses

Primary practice location

1501 Presidential Way Ste 19
West Palm Beach, FL 33401-1852

Mailing address

1501 Presidential Way Ste 19
West Palm Beach, FL 33401-1852
Phone (561) 686-3201

Other identifiers 1

IdentifierTypeStateIssuer
CH0007758OtherFLLICENSE

Other names 1

  • SOUTH FLORIDA SPINE AND JOINT CENTERS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Polo Medical Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1245635978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 PRESIDENTIAL WAY STE 19",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334011852",
            "telephone_number": "561-686-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 PRESIDENTIAL WAY STE 19",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334011852",
            "telephone_number": "561-686-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLO MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "OSLER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-686-3201",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH0007758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CH0007758",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH FLORIDA SPINE AND JOINT CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.