NPIMap

Organization Active NPI

Florida Anesthesia Consultants

  • Interventional Pain Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1649640822
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME124453 Issued in FL
Legal business name
FLORIDA ANESTHESIA CONSULTANTS
Practice address
511 SE 5TH Ave Apt 1901
Fort Lauderdale, FL 33301-2978
Phone
(847) 894-1127
NPI assigned
Oct 1, 2015
Organization subpart
Yes
Parent organization
CONCIERGE AESTHETICS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Authorized official

Name
Daniel J Borman, M.D.
Title
Owner/Physician
Phone
(847) 894-1127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X ME124453 FL Primary

Addresses

Primary practice location

511 SE 5TH Ave Apt 1901
Fort Lauderdale, FL 33301-2978

Mailing address

511 SE 5TH Ave Apt 1901
Fort Lauderdale, FL 33301-2978
Phone (847) 894-1127

National Provider Directory

National Provider Directory
Tax ID family
Concierge Aesthetics LLC2 organizations share this tax ID, including this one
Part of
Concierge Aesthetics LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1649640822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SE 5TH AVE APT 1901",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012978",
            "telephone_number": "847-894-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SE 5TH AVE APT 1901",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012978",
            "telephone_number": "847-894-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA ANESTHESIA CONSULTANTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONCIERGE AESTHETICS, LLC",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "BORMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "847-894-1127",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME124453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.