Organization Active NPI

Florida Atlantic Anesthesia

  • Specialist
  • Fort Lauderdale, FL
National Provider Identifier
1285686337
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FLORIDA ATLANTIC ANESTHESIA
Practice address
1960 NE 47TH St
2ND Floor
Fort Lauderdale, FL 33308-7708
Phone
(954) 493-5005
Fax
(954) 938-0957
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Ms. Valentina Palma
Title
Practice Administrator
Phone
(954) 493-5005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1960 NE 47TH St
2ND Floor
Fort Lauderdale, FL 33308-7708

Mailing address

1960 NE 47TH St
2ND Floor
Fort Lauderdale, FL 33308-7708
Phone (954) 493-5005

Other identifiers 4

IdentifierTypeStateIssuer
21926OtherFLBLUE CROSS BLUE SHIELD
249141OtherFLAVMED
255051200MedicaidFL
CI3594OtherFLRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1960 NE 47th St
Fl 2
Ft Lauderdale, FL 33308
Phone (954) 202-7899

5333 N Dixie Hwy
Ste 204
Oakland Park, FL 33334
Phone (954) 776-7566

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1285686337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 NE 47TH ST",
            "address_2": "2ND FLOOR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087708",
            "telephone_number": "954-493-5005",
            "fax_number": "954-938-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 NE 47TH ST",
            "address_2": "2ND FLOOR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087708",
            "telephone_number": "954-493-5005",
            "fax_number": "954-938-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA ATLANTIC ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "PALMA",
        "authorized_official_first_name": "VALENTINA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "954-493-5005",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21926",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "249141",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255051200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI3594",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.