Organization Active NPI

South Florida Injury Centers, Inc.

  • Physical Therapy Clinic/Center
  • Tamarac, FL
National Provider Identifier
1669095055
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SOUTH FLORIDA INJURY CENTERS, INC.
Practice address
5715 N University Dr
Tamarac, FL 33321-4635
Phone
(954) 606-6325
NPI assigned
May 20, 2020
Organization subpart
Yes
Parent organization
SOUTH FLORIDA INJURY CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Authorized official

Name
Dr. Brian S Wilner, DO
Title
Owner
Phone
(954) 606-6325

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

5715 N University Dr
Tamarac, FL 33321-4635

Mailing address

291 E Commercial Blvd
Fort Lauderdale, FL 33334-1625
Phone (954) 606-6325

National Provider Directory

National Provider Directory
Part of
South Florida Injury Ce

Locations

5715 N University Dr
Tamarac, FL 33321
Phone (954) 606-6325

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1669095055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 E COMMERCIAL BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333341625",
            "telephone_number": "954-606-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 N UNIVERSITY DR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214635",
            "telephone_number": "954-606-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA INJURY CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH FLORIDA INJURY CENTERS",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "WILNER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-606-6325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.