Orthonow Weston

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

HCC10353 Issued in FL

Legal business name

ORTHONOW WESTON

Practice address

4825 SW 148TH Ave
Southwest Ranches, FL 33330-2129

Phone

(954) 802-6763

NPI assigned

Oct 3, 2014

Last updated

Oct 3, 2014By 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

Ashley Bolanos

Title

Administrator

Phone

(954) 802-6763

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Orthonow Weston2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• RP Brothers Group International, Inc.

  dba OrthoNOW Weston

  • Orthopaedic Surgery Physician
  • Davie, FL
  • NPI 1689053555
  NPD tax ID

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1508269572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 SW 148TH AVE",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333302129",
            "telephone_number": "954-802-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 SW 148TH AVE",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333302129",
            "telephone_number": "954-802-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHONOW WESTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "BOLANOS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-802-6763"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "FL",
            "license": "HCC10353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEATHCARE CLINIC LICENSE",
            "identifier": "HCCL 10353",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khanh Tam Nguyen, PHARM.D.
• Obesity Diabetes and Metabolism Center of South Florida PA
• Ruth I Ocampo, MS, LMFT
• Olive Branch Care LLC
• Pedro Oramas Pena
• Alicia Paez
• Yelena Pakula, A.P.
• Peaceful Haven Ranch Group Home
• Maria D Pelkey, COTA/L
• Elyssa Penalver, APRN

• Sports Medicine (Emergency Medicine) Physician in Southwest Ranches, FL
• Providers in Southwest Ranches, FL by specialty
• Sports Medicine (Emergency Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.