Elite Spine Group, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11639 Issued in FL

Legal business name

ELITE SPINE GROUP, INC

Practice address

3107 Stirling Rd
Suite #206
Fort Lauderdale, FL 33312-6565

Phone

(305) 890-6040

NPI assigned

Oct 7, 2015

Last updated

Oct 7, 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

Dr. Oscar Molina, D.C.

Title

President

Phone

(305) 890-6040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1275904914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 FAIRLAKE TRCE",
            "address_2": "APT 811",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262869",
            "telephone_number": "302-562-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 STIRLING RD",
            "address_2": "SUITE #206",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126565",
            "telephone_number": "305-890-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPINE GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-890-6040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.