Organization Active NPI

Minimally Invasive Colon and Rectal Surgery of South Florida PLLC

  • Surgery Physician
  • Delray Beach, FL
National Provider Identifier
1437397494
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME98306 Issued in FL
Legal business name
MINIMALLY INVASIVE COLON AND RECTAL SURGERY OF SOUTH FLORIDA PLLC
Practice address
4800 Linton Blvd
BLDG D Suite 502B
Delray Beach, FL 33445-6584
Phone
(561) 381-5991
Fax
(561) 381-5275
NPI assigned
Jan 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Authorized official

Name
Dr. Avraham Belizon, MD
Title
President
Phone
(561) 381-5991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME98306 FL Primary

Addresses

Primary practice location

4800 Linton Blvd
BLDG D Suite 502B
Delray Beach, FL 33445-6584

Mailing address

4800 Linton Blvd
BLDG D Suite 502B
Delray Beach, FL 33445-6584
Phone (561) 381-5991

National Provider Directory

National Provider Directory

Locations

4800 Linton Blvd
Ste D502B
Delray Beach, FL 33445
Phone (561) 499-9339

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1437397494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 LINTON BLVD",
            "address_2": "BLDG D SUITE 502B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456584",
            "telephone_number": "561-381-5991",
            "fax_number": "561-381-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 LINTON BLVD",
            "address_2": "BLDG D SUITE 502B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456584",
            "telephone_number": "561-381-5991",
            "fax_number": "561-381-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMALLY INVASIVE COLON AND RECTAL SURGERY OF SOUTH FLORIDA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "BELIZON",
        "authorized_official_first_name": "AVRAHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-381-5991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME98306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

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