Coral Ridge Surgical Center, LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

CORAL RIDGE SURGICAL CENTER, LLC

Practice address

831 Coral Ridge Dr
Coral Springs, FL 33071-4180

Phone

(954) 557-6159

NPI assigned

May 13, 2010

Last updated

May 13, 2010By 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. Michael Flicker, D.O.NPI 1265419709

Title

Managing Director

Phone

(954) 557-6159

Specialties & licenses 1

Addresses

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.

• Michael A Flicker, DO

  • Family Medicine Physician
  • Plantation, FL
  • NPI 1265419709
  NPD (past) Authorized official

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1255659330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 CORAL RIDGE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714180",
            "telephone_number": "954-557-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 CORAL RIDGE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714180",
            "telephone_number": "954-557-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL RIDGE SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "FLICKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "954-557-6159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coral Dental Specialists LLC
• Coral Hills Imaging LLC
• Coral Medical Care, LLC (Coral Medical Care)
• Coral Medical Care, LLC (coral medical care)
• Coral Medical Inc
• Coral S M S Corp
• Coral Specialty LLC
• Coral Springs Ambulatory Surgery Center LLC (Coral Springs Surgical Center)
• Coral Springs Behavioral Services LLC
• Coral Springs Center for Medicine & Surgery of the Foot & Leg Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.