Organization Active NPI

Endoslim Clinic FL PA

  • Gastroenterology Physician
  • Coral Springs, FL
National Provider Identifier
1376376061
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ENDOSLIM CLINIC FL PA
Practice address
12462 W Atlantic Blvd Ste 2
Coral Springs, FL 33071-4086
Phone
(954) 688-9677
Fax
(754) 704-7285
NPI assigned
Aug 20, 2024
Last updated
Aug 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Dr. Alexander Shapsis, MDNPI 1952325599
Title
President
Phone
(954) 688-9677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

12462 W Atlantic Blvd Ste 2
Coral Springs, FL 33071-4086

Mailing address

12462 W Atlantic Blvd Ste 2
Coral Springs, FL 33071-4086
Phone (954) 688-9677

National Provider Directory

National Provider Directory

Locations

12462 W Atlantic Blvd
Ste 2
Coral Springs, FL 33071
Phone (954) 688-9677

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1376376061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12462 W ATLANTIC BLVD STE 2",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714086",
            "telephone_number": "954-688-9677",
            "fax_number": "754-704-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12462 W ATLANTIC BLVD STE 2",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714086",
            "telephone_number": "954-688-9677",
            "fax_number": "754-704-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSLIM CLINIC FL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "SHAPSIS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-688-9677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.