Organization Active NPI

C.O.R. Injury Centers of Hollywood Inc

  • Chiropractor
  • Fort Lauderdale, FL
National Provider Identifier
1740798438
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
C.O.R. INJURY CENTERS OF HOLLYWOOD INC
Practice address
3107 Stirling Rd
Fort Lauderdale, FL 33312-6565
Phone
(954) 835-5644
NPI assigned
Jan 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Authorized official

Name
Aileen Medina
Title
Office Manager
Phone
(954) 835-5644

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X FL Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

3107 Stirling Rd
Fort Lauderdale, FL 33312-6565

Mailing address

3107 Stirling Rd Ste 206
Fort Lauderdale, FL 33312-8502
Phone (954) 835-5644

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1740798438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 STIRLING RD STE 206",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333128502",
            "telephone_number": "954-835-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 STIRLING RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126565",
            "telephone_number": "954-835-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.O.R. INJURY CENTERS OF HOLLYWOOD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "AILEEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-835-5644"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.