South Florida Spinal Neurosurgery Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTH FLORIDA SPINAL NEUROSURGERY ASSOCIATES LLC

Practice address

7805 NW Beacon Square Blvd Ste 103
Boca Raton, FL 33487-1396

Phone

(800) 964-4395

Fax

(954) 634-4293

NPI assigned

Mar 6, 2018

Reactivated

Mar 9, 2022

Organization subpart

No

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

Authorized official

Name

Jeffrey Harry Oppenheimer, MD

Title

Owner

Phone

(800) 964-4395

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1326540295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 S OCEAN BLVD APT 201",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627802",
            "telephone_number": "503-706-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7805 NW BEACON SQUARE BLVD STE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871396",
            "telephone_number": "800-964-4395",
            "fax_number": "954-634-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA SPINAL NEUROSURGERY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "deactivation_date": "2021-03-30",
        "reactivation_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIMER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "HARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-964-4395",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME60083",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "B5SXN",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Florida Imaging & Diagnostic Center Inc
• South Florida Medical Corp
• South Florida Neurology Associates PA
• South Florida Nuclear Medicine
• South Florida Nursing Inc.
• South Florida Spinal Neurosurgery Associates, LLC
• South Florida Surgical Specialists LLC
• South Florida Surgical Specialists, LLC
• South Florida Surgical Specialists, LLC
• South Florida Surgical Specialists, LLC

• Internal Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.