Organization Active NPI

Himmarshee Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1336394535
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
HIMMARSHEE SURGICAL CENTER, LLC
Practice address
717 SE 2ND St
Fort Lauderdale, FL 33301-3605
Phone
(954) 463-5208
Fax
(954) 463-5288
NPI assigned
Dec 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Authorized official

Name
Harry K Moon, MD
Title
Owner
Phone
(954) 463-5208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

717 SE 2ND St
Fort Lauderdale, FL 33301-3605

Mailing address

717 SE 2ND St
Fort Lauderdale, FL 33301-3605
Phone (954) 463-5208

National Provider Directory

National Provider Directory

Locations

717 SE 2nd St
Ft Lauderdale, FL 33301
Phone (954) 463-5208

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1336394535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 SE 2ND ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013605",
            "telephone_number": "954-463-5208",
            "fax_number": "954-463-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 SE 2ND ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013605",
            "telephone_number": "954-463-5208",
            "fax_number": "954-463-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIMMARSHEE SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-463-5208",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 26, 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.