The Advanced PRP & Stem Cell Center of Boca Raton Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO2772 Issued in FL

Legal business name

THE ADVANCED PRP & STEM CELL CENTER OF BOCA RATON INC

Practice address

4308 Alton Rd Ste 840
Miami Beach, FL 33140-4558

Phone

(561) 447-7836

NPI assigned

Nov 6, 2013

Organization subpart

No

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

Authorized official

Name

Kevin D Berkowtiz, DPM

Title

Ceo

Phone

(561) 447-7836

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1356770770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GLADES RD STE 2",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321424",
            "telephone_number": "561-447-7836",
            "fax_number": "954-671-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD STE 840",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404558",
            "telephone_number": "561-447-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ADVANCED PRP & STEM CELL CENTER OF BOCA RATON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "BERKOWTIZ",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-447-7836",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.