Elite Spine of Broward

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11639 Issued in FL

Legal business name

ELITE SPINE OF BROWARD

Practice address

2710 W Oakland Park Blvd # 405
Oakland Park, FL 33311-1336

Phone

(305) 800-7746

NPI assigned

Oct 23, 2017

Last updated

Oct 23, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Oscar Alberto Molina, DC

Title

President

Phone

(305) 800-7746

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1497266076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 W OAKLAND PARK BLVD # 405",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111336",
            "telephone_number": "305-800-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 W OAKLAND PARK BLVD # 405",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111336",
            "telephone_number": "305-800-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPINE OF BROWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-800-7746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.