Active NPI
Neuro Ortho Rad Monitoring LLC
- Radiology Clinic/Center
- Wellington, FL
National Provider Identifier
1629231246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- NEURO ORTHO RAD MONITORING LLC
- Practice address
- 1447 Medical Park Blvd
Suite 101
Wellington, FL 33414-3164 - Phone
- (561) 844-0120
- Fax
- (561) 800-1074
- NPI assigned
- Jul 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amos O Dare, M.D.
- Title
- Medical Director
- Phone
- (561) 844-0120
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
1447 Medical Park Blvd
Suite 101
Wellington, FL 33414-3164
Mailing address
1447 Medical Park Blvd
Suite 101
Wellington, FL 33414-3164
Phone (561) 844-0120
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329868800000",
"number": "1629231246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1447 MEDICAL PARK BLVD",
"address_2": "SUITE 101",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334143164",
"telephone_number": "561-844-0120",
"fax_number": "561-800-1074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1447 MEDICAL PARK BLVD",
"address_2": "SUITE 101",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334143164",
"telephone_number": "561-844-0120",
"fax_number": "561-800-1074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEURO ORTHO RAD MONITORING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-03",
"last_updated": "2012-02-22",
"status": "A",
"authorized_official_last_name": "DARE",
"authorized_official_first_name": "AMOS",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "561-844-0120",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.