Interactive Medical - Unlimited Surgical Assistant

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9101223 Issued in FL

Legal business name

INTERACTIVE MEDICAL - UNLIMITED SURGICAL ASSISTANT

Practice address

49 N Federal Hwy # 361
Pompano Beach, FL 33062-4304

Phone

(954) 990-3515

NPI assigned

Dec 23, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Miguel Angel Ortiz Diaz, PA-C

Title

President

Phone

(954) 990-3515

Specialties & licenses 1

Addresses

Other names 1

• iM-USA Doing business as

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1831468669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 N FEDERAL HWY # 361",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624304",
            "telephone_number": "954-990-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 N FEDERAL HWY # 361",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624304",
            "telephone_number": "954-990-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIVE MEDICAL - UNLIMITED SURGICAL ASSISTANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "ORTIZ DIAZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-990-3515",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9101223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iM-USA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Integrated Dermatology of Pompano Beach LLC
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• Integrative Health Practice LLC
• Integrity Home Care Service LLC
• Interactive Med-Unlim Surg Assist
• Interventional Spine Center LLC
• Interventional Spine Specialists, LLC
• Inverrary Optical Inc.
• Inverted Healthcare Staffing of Florida
• Cathy Irby

• Surgical Physician Assistant in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.