Orthopaedic Spine & Fracture of Palm Beach, LLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

ME81924 Issued in FL

Legal business name

ORTHOPAEDIC SPINE & FRACTURE OF PALM BEACH, LLC

Practice address

1019 N State Road 7 Ste B
Royal Palm Beach, FL 33411-5117

Phone

(561) 296-2345

Fax

(561) 296-2346

NPI assigned

Mar 25, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Shahmir Quraeshi

Title

Cheif Financial Officer

Phone

(561) 242-1174

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1487896213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8136 OKEECHOBEE BLVD STE A&B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112002",
            "telephone_number": "561-242-1174",
            "fax_number": "561-242-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 N STATE ROAD 7 STE B",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334115117",
            "telephone_number": "561-296-2345",
            "fax_number": "561-296-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SPINE & FRACTURE OF PALM BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "QURAESHI",
        "authorized_official_first_name": "SHAHMIR",
        "authorized_official_title_or_position": "CHEIF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "561-242-1174",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME81924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery of the Spine Physician in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Orthopaedic Surgery of the Spine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.