Organization Active NPI

Chiro-Medical Associates of Hollywood Inc

  • General Practice Physician
  • Boca Raton, FL
National Provider Identifier
1396866562
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
HCC3659 Issued in FL
Legal business name
CHIRO-MEDICAL ASSOCIATES OF HOLLYWOOD INC
Doing business as
Choice Medical Center
Practice address
2295 NW Corporate Blvd
Suite 140
Boca Raton, FL 33431-7323
Phone
(561) 241-1971
Fax
(561) 241-3969
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Evan Sade
Title
Consulting
Phone
(954) 817-9402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X HCC3659 FL Primary

Addresses

Primary practice location

2295 NW Corporate Blvd
Suite 140
Boca Raton, FL 33431-7323

Mailing address

2832 Stirling Rd
Unit E
Hollywood, FL 33020-1127
Phone (954) 929-1211

Other names 1

  • Choice Medical Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1396866562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2832 STIRLING RD",
            "address_2": "UNIT E",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201127",
            "telephone_number": "954-929-1211",
            "fax_number": "954-929-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 NW CORPORATE BLVD",
            "address_2": "SUITE 140",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317323",
            "telephone_number": "561-241-1971",
            "fax_number": "561-241-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO-MEDICAL ASSOCIATES OF HOLLYWOOD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "SADE",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "CONSULTING",
        "authorized_official_telephone_number": "954-817-9402"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC3659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choice Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.