Premier Spine Center,Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

ME0060513 Issued in FL

Legal business name

PREMIER SPINE CENTER,INC

Practice address

2699 Stirling Rd
Suite C-405
Fort Lauderdale, FL 33312-6517

Phone

(954) 966-9696

Fax

(954) 987-9796

NPI assigned

Apr 19, 2012

Organization subpart

No

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

Authorized official

Name

Timothy James Exarhos, MD

Title

President

Phone

(954) 829-6317

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Craig Mandelstein, D.C.

  • Chiropractor
  • West Palm Beach, FL
  • NPI 1508916032
  NPD (past)

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1629335294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD",
            "address_2": "SUITE C-405",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126517",
            "telephone_number": "954-966-9696",
            "fax_number": "954-987-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD",
            "address_2": "SUITE C-405",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126517",
            "telephone_number": "954-966-9696",
            "fax_number": "954-987-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SPINE CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "EXARHOS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-829-6317",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME0060513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Ann Pratson, ARNP
• Precision Pathway Therapy Group Corp
• Prefered Medical Equipment Supply
• Preferred Educational & Psychological Services, Inc
• Premier Smile Center
• Premiere Perinatal Associates
• Premiere Perinatal Associates PA
• Premiere Perinatal Associates PA
• Premiermd Care Network LLC
• Premiermd Ipa Healthcare, LLC

• Health Service Clinic/Center in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.