ASC Hollywood LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ASC HOLLYWOOD LLC

Practice address

1025 E Hallandale Beach Blvd Ste 6-8
Hallandale Beach, FL 33009-4478

Phone

(904) 320-0807

NPI assigned

Aug 2, 2024

Last updated

Aug 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Merritt

Title

Billing Manager

Phone

(904) 619-2652

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1790515013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41226",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322031226",
            "telephone_number": "904-619-2652",
            "fax_number": "904-561-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E HALLANDALE BEACH BLVD STE 6-8",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094478",
            "telephone_number": "904-320-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASC HOLLYWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "904-619-2652"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.