Organization Active NPI

Atlantic Spine of South Florida, LLC

  • Neurological Surgery Physician
  • Palm Springs, FL
National Provider Identifier
1497064075
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME97619 Issued in FL
Legal business name
ATLANTIC SPINE OF SOUTH FLORIDA, LLC
Practice address
1722A South Congress Avenue
Palm Springs, FL 33461
Phone
(561) 252-4375
Fax
(561) 828-5955
NPI assigned
Sep 30, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Ashley M Morgan
Title
Administrator
Phone
(561) 252-4375

National Provider Directory

National Provider Directory
Tax ID family
Atlantic Spine of South Florida LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X ME97619 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

1722A South Congress Avenue
Palm Springs, FL 33461

Mailing address

1722A South Congress Avenue
Palm Springs, FL 33461
Phone (561) 252-4375

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 30, 2010.

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1497064075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722A SOUTH CONGRESS AVENUE",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "33461",
            "telephone_number": "561-252-4375",
            "fax_number": "561-828-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722A SOUTH CONGRESS AVENUE",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "33461",
            "telephone_number": "561-252-4375",
            "fax_number": "561-828-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC SPINE OF SOUTH FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-252-4375",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME97619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.