Med-Manage Group, Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME55094 Issued in FL

Legal business name

MED-MANAGE GROUP, INC

Practice address

2100 Lake Ida Rd Ste 1
Delray Beach, FL 33445-2442

Phone

(561) 265-1116

Fax

(561) 265-1296

NPI assigned

Dec 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Steven Bottari, PH.D

Title

President

Phone

(561) 265-1116

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1821429523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LAKE IDA RD STE 1",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452442",
            "telephone_number": "561-265-1116",
            "fax_number": "561-265-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LAKE IDA RD STE 1",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452442",
            "telephone_number": "561-265-1116",
            "fax_number": "561-265-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-MANAGE GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "BOTTARI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-265-1116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME92179",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME55094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.