The Spine Center, P.a.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME116529 Issued in FL

Legal business name

THE SPINE CENTER, P.A.

Practice address

4322 E Tradewinds Ave
Lauderdale by the Sea, FL 33308-5010

Phone

(713) 774-5462

Fax

(713) 774-5478

NPI assigned

Aug 19, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Nguyen

Title

Business Manager

Phone

(713) 774-5462

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1699174375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4322 E TRADEWINDS AVE",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333085010",
            "telephone_number": "713-774-5462",
            "fax_number": "713-774-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4322 E TRADEWINDS AVE",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333085010",
            "telephone_number": "713-774-5462",
            "fax_number": "713-774-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPINE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "713-774-5462",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME116529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Lauderdale by the Sea, FL
• Providers in Lauderdale by the Sea, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.