Miami Back Institute

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

MIAMI BACK INSTITUTE

Practice address

315 Palermo Ave
Coral Gables, FL 33134-6607

Phone

(305) 461-4848

Fax

(305) 461-4899

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gary Alan Robertson, D.C.

Title

President

Phone

(305) 461-4848

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497828933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 PONCE DE LEON BLVD # 387",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344418",
            "telephone_number": "305-461-4848",
            "fax_number": "305-461-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 PALERMO AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346607",
            "telephone_number": "305-461-4848",
            "fax_number": "305-461-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI BACK INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-461-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Miami Comprehensive Medicine Group PA

• Physical Medicine & Rehabilitation Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.