U.S. Bariaric South Florida , LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME70704 Issued in FL

Legal business name

U.S. BARIARIC SOUTH FLORIDA , LLC

Practice address

4800 NE 20TH Ter
Suite 303
Ft Lauderdale, FL 33308-4510

Phone

(954) 351-7770

Fax

(954) 351-7181

NPI assigned

Jul 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Michael A. Perez, M.D.

Title

President

Phone

(954) 351-7770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1407086994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 NE 20TH TER",
            "address_2": "SUITE 303",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084510",
            "telephone_number": "954-351-7770",
            "fax_number": "954-351-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 NE 20TH TER",
            "address_2": "SUITE 303",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084510",
            "telephone_number": "954-351-7770",
            "fax_number": "954-351-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. BARIARIC SOUTH FLORIDA , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-351-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME70704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.