Organization Active NPI

Palm Coast Anesthesia

  • Specialist
  • Pompano Beach, FL
National Provider Identifier
1467774711
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PALM COAST ANESTHESIA
Practice address
150 SW 12TH Ave
Suite 450
Pompano Beach, FL 33069
Phone
(954) 941-3369
Fax
(954) 941-8470
NPI assigned
Feb 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Mrs. Stacey Castrovinci, R.N.
Title
Director of Operations
Phone
(954) 941-3369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

150 SW 12TH Ave
Suite 450
Pompano Beach, FL 33069

Mailing address

150 SW 12TH Ave
Suite 450
Pompano Beach, FL 33069
Phone (954) 941-3369

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1467774711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SW 12TH AVE",
            "address_2": "SUITE 450",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33069",
            "telephone_number": "954-941-3369",
            "fax_number": "954-941-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SW 12TH AVE",
            "address_2": "SUITE 450",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33069",
            "telephone_number": "954-941-3369",
            "fax_number": "954-941-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM COAST ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "CASTROVINCI",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "954-941-3369",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "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 Apr 19, 2016; 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.