Active NPI
Sbcrs Inc
- Colon & Rectal Surgery Physician
- Fort Lauderdale, FL
National Provider Identifier
1801089545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- ME75795
- Legal business name
- SBCRS INC
- Practice address
- 904 NW 9TH Ave
Fort Lauderdale, FL 33311-7204 - Phone
- (954) 607-4237
- Fax
- (954) 779-7526
- NPI assigned
- Aug 27, 2007
- 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
- Fabio M Potenti, M.D.
- Title
- C.E.O.
- Phone
- (954) 607-4237
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | ME75795 | FL | Primary |
Addresses
Primary practice location
904 NW 9TH Ave
Fort Lauderdale, FL 33311-7204
Mailing address
904 NW 9TH Ave
Fort Lauderdale, FL 33311-7204
Phone (954) 607-4237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271217200 | Medicaid | FL |
Other names 1
- SOUTH BROWARD COLON AND RECTAL SURGERY
National Provider Directory
National Provider DirectoryLocations
904 NW 9th Ave
Ft Lauderdale, FL 33311
Phone (954) 607-4237
4700 Sheridan St
Ste F
Hollywood, FL 33021
Phone (954) 961-8400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209427200000",
"number": "1801089545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 NW 9TH AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333117204",
"telephone_number": "954-607-4237",
"fax_number": "954-779-7526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 NW 9TH AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333117204",
"telephone_number": "954-607-4237",
"fax_number": "954-779-7526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SBCRS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-27",
"last_updated": "2008-04-29",
"status": "A",
"authorized_official_last_name": "POTENTI",
"authorized_official_first_name": "FABIO",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "C.E.O.",
"authorized_official_telephone_number": "954-607-4237",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Colon & Rectal Surgery",
"state": "FL",
"license": "ME75795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271217200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SOUTH BROWARD COLON AND RECTAL SURGERY",
"code": "5",
"type": "Other Name"
}
]
}
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 Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.