Organization Active NPI

Emere Florida, P.a.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Boca Raton, FL
National Provider Identifier
1326465394
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
67309 Issued in FL
Legal business name
EMERE FLORIDA, P.A.
Practice address
9878 Clint Moore Rd
Suite 206
Boca Raton, FL 33496-1037
Phone
(561) 405-9610
NPI assigned
Mar 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Authorized official

Name
James E Provo, M.D.
Title
Vice President of Operations
Phone
(917) 239-5034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081S0010X 67309 FL Primary

Addresses

Primary practice location

9878 Clint Moore Rd
Suite 206
Boca Raton, FL 33496-1037

Mailing address

801 N 500 W
Suite 100
Bountiful, UT 84010-6829
Phone (801) 617-2100

National Provider Directory

National Provider Directory

Locations

4705 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 220-2622

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1326465394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N 500 W",
            "address_2": "SUITE 100",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106829",
            "telephone_number": "801-617-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9878 CLINT MOORE RD",
            "address_2": "SUITE 206",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961037",
            "telephone_number": "561-405-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERE FLORIDA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "PROVO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "917-239-5034",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "67309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.