Active NPI
Colorectal and Gi Specialists of South Florida, Inc.
- Colon & Rectal Surgery Physician
- Pompano Beach, FL
National Provider Identifier
1386671857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- Legal business name
- COLORECTAL AND GI SPECIALISTS OF SOUTH FLORIDA, INC.
- Practice address
- 150 SW 12TH Ave
Ste 201
Pompano Beach, FL 33069-3298 - Phone
- (954) 785-5530
- NPI assigned
- Jun 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John W. Beebe
- Title
- President
- Phone
- (954) 785-5530
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | Primary |
Addresses
Primary practice location
150 SW 12TH Ave
Ste 201
Pompano Beach, FL 33069-3298
Mailing address
150 SW 12TH Ave
Ste 201
Pompano Beach, FL 33069-3298
Phone (954) 785-5530
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1386671857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 SW 12TH AVE",
"address_2": "STE 201",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330693298",
"telephone_number": "954-785-5530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 SW 12TH AVE",
"address_2": "STE 201",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330693298",
"telephone_number": "954-785-5530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLORECTAL AND GI SPECIALISTS OF SOUTH FLORIDA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BEEBE",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-785-5530",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Colon & Rectal Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.