Active NPI
Colony Springs Medical Center, Inc
- Specialist
- Tamarac, FL
National Provider Identifier
1669690541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- COLONY SPRINGS MEDICAL CENTER, INC
- Practice address
- 7737 N University Dr
107
Tamarac, FL 33321-2961 - Phone
- (954) 720-0056
- Fax
- (954) 721-4120
- NPI assigned
- Apr 23, 2007
- 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
- Mrs. Claudia Johanna Neira
- Title
- Managing Director
- Phone
- (954) 726-3721
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
7737 N University Dr
107
Tamarac, FL 33321-2961
Mailing address
7737 N University Dr
107
Tamarac, FL 33321-2961
Phone (954) 720-0056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051532900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2059161 | Colony Springs Medical Center Inc | Certificate of waiver | May 19, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Tamarac, FL
- NPI 1992224794
-
- Family Nurse Practitioner
- Tamarac, FL
- NPI 1972068351
-
- General Practice Physician
- Tamarac, FL
- NPI 1326291964
-
- Physician Assistant
- Tamarac, FL
- NPI 1598169880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291075200000",
"number": "1669690541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7737 N UNIVERSITY DR",
"address_2": "107",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212961",
"telephone_number": "954-720-0056",
"fax_number": "954-721-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7737 N UNIVERSITY DR",
"address_2": "107",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212961",
"telephone_number": "954-720-0056",
"fax_number": "954-721-4120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLONY SPRINGS MEDICAL CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2010-11-30",
"status": "A",
"authorized_official_last_name": "NEIRA",
"authorized_official_first_name": "CLAUDIA",
"authorized_official_middle_name": "JOHANNA",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "954-726-3721",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051532900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, FL
- Juana Amalfi Coles, APRN
- Ania Collazo Garay
- Yuliett Collazo
- Amanda Leann Collier, PHARMD
- Colliers at Tamarac Opco, LLC
- Angela Combs, D.O.
- Comfortable Care Dental Health Professionals, PA
- Community Access Service, Inc
- Community Orthopedics & Center for Joint Replacement, Inc
- Community Orthopedics & Hand Surgery, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.