Active NPI
Orthopedic and Surgery Center LLC
- Chiropractor
- Hollywood, FL
National Provider Identifier
1669800470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- ORTHOPEDIC AND SURGERY CENTER LLC
- Practice address
- 6030 Hollywood Blvd
Suite 250
Hollywood, FL 33024-7964 - Phone
- (954) 962-9525
- Fax
- (954) 962-9857
- NPI assigned
- Oct 15, 2013
- 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
- Dennis Bonneau, DC
- Title
- President
- Phone
- (954) 432-9993
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Family Medicine Physician | 207Q00000X |
Addresses
Primary practice location
6030 Hollywood Blvd
Suite 250
Hollywood, FL 33024-7964
Mailing address
6030 Hollywood Blvd
Suite 250
Hollywood, FL 33024-7964
Phone (954) 962-9525
Other names 1
- HOLLYWOOD SPINE AND REHABILITATION
National Provider Directory
National Provider Directory- Tax ID family
- Hollywood Spine and Rehabilitation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Chiropractor
- Hollywood, FL
- NPI 1568707016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381881600000",
"number": "1669800470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6030 HOLLYWOOD BLVD",
"address_2": "SUITE 250",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330247964",
"telephone_number": "954-962-9525",
"fax_number": "954-962-9857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6030 HOLLYWOOD BLVD",
"address_2": "SUITE 250",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330247964",
"telephone_number": "954-962-9525",
"fax_number": "954-962-9857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC AND SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-15",
"last_updated": "2013-10-16",
"status": "A",
"authorized_official_last_name": "BONNEAU",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-432-9993",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HOLLYWOOD SPINE AND REHABILITATION",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.