Advance Medical Associates and Forme Rehab Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

HCCR3538 Issued in FL

Legal business name

ADVANCE MEDICAL ASSOCIATES AND FORME REHAB INC

Practice address

7000 W Oakland Park Blvd
Suite 202
Sunrise, FL 33313-1016

Phone

(954) 572-1099

Fax

(954) 572-4409

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Linda D Varisco, DC

Title

Owner

Phone

(954) 572-1099

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1508803396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 W OAKLAND PARK BLVD",
            "address_2": "SUITE 202",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333131016",
            "telephone_number": "954-572-1099",
            "fax_number": "954-572-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W OAKLAND PARK BLVD",
            "address_2": "SUITE 202",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333131016",
            "telephone_number": "954-572-1099",
            "fax_number": "954-572-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE MEDICAL ASSOCIATES AND FORME REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "VARISCO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-572-1099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "HCCR3538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.