Active NPI
South Florida Spine & Sports Specialists LLC
- Physical Medicine & Rehabilitation Physician
- Miramar, FL
National Provider Identifier
1730634643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- OS9439
- Legal business name
- SOUTH FLORIDA SPINE & SPORTS SPECIALISTS LLC
- Practice address
- 3000 SW 148TH Ave Ste 115
Miramar, FL 33027-4181 - Phone
- (954) 551-6921
- NPI assigned
- Aug 20, 2016
- 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
- Mark Steven Fishman, DO
- Title
- Member
- Phone
- (954) 551-6921
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | OS9439 | FL | Primary |
Addresses
Primary practice location
3000 SW 148TH Ave Ste 115
Miramar, FL 33027-4181
Mailing address
3000 SW 148TH Ave Ste 115
Miramar, FL 33027-4181
Phone (954) 551-6921
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Miramar, FL
- NPI 1922060292
-
- Physical Therapist
- Coral Gables, FL
- NPI 1154042463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471651200000",
"number": "1730634643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 SW 148TH AVE STE 115",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330274181",
"telephone_number": "954-551-6921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 SW 148TH AVE STE 115",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330274181",
"telephone_number": "954-551-6921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH FLORIDA SPINE & SPORTS SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-20",
"last_updated": "2016-08-20",
"status": "A",
"authorized_official_last_name": "FISHMAN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "STEVEN",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "954-551-6921",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "OS9439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
- South Florida Community Key
- South Florida Healthcare Practitioners
- South Florida Premier Care LLC
- South Florida Services and Support Inc
- South Florida Speech Solutions
- South Florida Spine & Sports Specialists, LLC
- South Florida Sports and Preventive Medicine Inc
- South Florida Surgical Specialists, LLC
- South Florida Wellness Services, Inc
- South Oaks Assisted Living Home LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.