Orthopedic and Surgery Center LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CH6934 Issued in FL

Legal business name

ORTHOPEDIC AND SURGERY CENTER LLC

Practice address

6030 Hollywood Blvd
Suite 250
Hollywood, FL 33024-7964

Phone

(954) 962-9525

Fax

(954) 962-9857

NPI assigned

Dec 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Dennis Howard Bonneau, DC

Title

President

Phone

(954) 610-0048

Specialties & licenses 1

Addresses

Tax ID family

Hollywood Spine and Rehabilitation2 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.

• Orthopedic and Surgery Center LLC

  • Chiropractor
  • Hollywood, FL
  • NPI 1669800470
  NPD tax ID

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1568707016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 NW 144TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282927",
            "telephone_number": "954-610-0048",
            "fax_number": "954-962-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 HOLLYWOOD BLVD",
            "address_2": "SUITE 250",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330247964",
            "telephone_number": "954-962-9525",
            "fax_number": "954-962-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC AND SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "BONNEAU",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-610-0048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH6934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilda Ortega
• Ortho Florida, LLC
• Ortho Florida, LLC
• Orthopaedic Associates of South Broward PA
• Orthopaedic Rehab Ergonmics
• Orthopedic and Surgery Center LLC
• Orthopedic Specialty Instiute, PLLC
• Orthopedic Spine Solutions Corp
• Lisa Mary Ortigara Crego, LCSW CEDS
• Diamarys Ortiz Morales

• Rehabilitation Chiropractor in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Rehabilitation Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.