South Florida Pain & Rehabilitation of West Dade LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CH8093 Issued in FL

Legal business name

SOUTH FLORIDA PAIN & REHABILITATION OF WEST DADE LLC

Practice address

7913 NW 2ND St
Miami, FL 33126-8000

Phone

(305) 551-8677

NPI assigned

May 1, 2012

Organization subpart

No

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

Authorized official

Name

Danny S Feder

Title

President

Phone

(954) 942-8085

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1265790950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S FEDERAL HWY STE 390",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627553",
            "telephone_number": "954-942-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7913 NW 2ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331268000",
            "telephone_number": "305-551-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA PAIN & REHABILITATION OF WEST DADE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "FEDER",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-942-8085"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH8093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Chiropractor in Miami, FL
• Providers in Miami, FL by specialty
• Rehabilitation Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.