PSG of South Florida

Primary specialty

Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X

Legal business name

PSG OF SOUTH FLORIDA

Practice address

40 SE 5TH St
Suite 406
Boca Raton, FL 33432-6003

Phone

(561) 368-7118

Fax

(561) 368-7116

NPI assigned

Oct 16, 2008

Last updated

Oct 16, 2008By 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. Joseph B Masternick, D.O

Title

Medical Director

Phone

(561) 368-7118

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1578715942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SE 5TH ST",
            "address_2": "SUITE 406",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326003",
            "telephone_number": "561-368-7118",
            "fax_number": "561-368-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SE 5TH ST",
            "address_2": "SUITE 406",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326003",
            "telephone_number": "561-368-7118",
            "fax_number": "561-368-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSG OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "MASTERNICK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-368-7118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David W Prusakowski, DMD
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• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.