Abundance Spa and Rehab, Inc

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

9589 Issued in FL

Legal business name

ABUNDANCE SPA AND REHAB, INC

Practice address

3650 SW 10TH St
1-B
Deerfield Beach, FL 33442-5997

Phone

(954) 857-2900

Fax

(954) 857-2901

NPI assigned

Mar 22, 2013

Last updated

Mar 25, 2013By 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

Dr. Raphael Cervera, D.O

Title

Chiropractor

Phone

(954) 857-2900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1801138375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 SW 10TH ST",
            "address_2": "1-B",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334425997",
            "telephone_number": "954-857-2900",
            "fax_number": "954-857-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 SW 10TH ST",
            "address_2": "1-B",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334425997",
            "telephone_number": "954-857-2900",
            "fax_number": "954-857-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANCE SPA AND REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "CERVERA",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "954-857-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "9589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Physician Chiropractor in Deerfield Beach, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.