Organization Active NPI

Aleisha Olby-Canik DO LLC

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1790915304
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALEISHA OLBY-CANIK DO LLC
Practice address
2900 N Military TRL
Suite 245
Boca Raton, FL 33431-6365
Phone
(561) 994-2007
Fax
(561) 994-2003
NPI assigned
Jul 16, 2009
Last updated
Dec 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Authorized official

Name
Aleisha A Olby, DO
Title
Owner
Phone
(954) 449-3763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2900 N Military TRL
Suite 245
Boca Raton, FL 33431-6365

Mailing address

200 SE 3Rd St
Pompano Beach, FL 33060-7118
Phone (954) 449-3763

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1790915304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SE 3RD ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607118",
            "telephone_number": "954-449-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL",
            "address_2": "SUITE 245",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316365",
            "telephone_number": "561-994-2007",
            "fax_number": "561-994-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEISHA OLBY-CANIK DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "OLBY",
        "authorized_official_first_name": "ALEISHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-449-3763",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.