Organization Active NPI

Colony Springs Medical Center of Palm BCH, Inc

  • Specialist
  • Atlantis, FL
National Provider Identifier
1417175308
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COLONY SPRINGS MEDICAL CENTER OF PALM BCH, INC
Practice address
130 JFK Dr
Suite # 131
Atlantis, FL 33462-1141
Phone
(561) 439-7070
Fax
(561) 967-3888
NPI assigned
Apr 23, 2007
Last updated
May 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Mrs. Claudia Johanna Neira
Title
Managing Director
Phone
(954) 726-3721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

130 JFK Dr
Suite # 131
Atlantis, FL 33462-1141

Mailing address

130 JFK Dr
Suite # 131
Atlantis, FL 33462-1141
Phone (561) 439-7070

Other identifiers 1

IdentifierTypeStateIssuer
051532902MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1417175308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 JFK DR",
            "address_2": "SUITE # 131",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621141",
            "telephone_number": "561-439-7070",
            "fax_number": "561-967-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 JFK DR",
            "address_2": "SUITE # 131",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621141",
            "telephone_number": "561-439-7070",
            "fax_number": "561-967-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONY SPRINGS MEDICAL CENTER OF PALM BCH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "NEIRA",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "JOHANNA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "954-726-3721",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051532902",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.