Emerge Medical Group LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EMERGE MEDICAL GROUP LLC

Practice address

10676 Bloomingdale Ave Ste 3
Riverview, FL 33578-4292

Phone

(813) 377-4569

Fax

(813) 365-3522

NPI assigned

May 10, 2022

Organization subpart

No

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

Authorized official

Name

Angelo Rubano, DC

Title

Owner

Phone

(239) 398-2572

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1861138190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7982",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337757982",
            "telephone_number": "727-906-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10676 BLOOMINGDALE AVE STE 3",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784292",
            "telephone_number": "813-377-4569",
            "fax_number": "813-365-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "RUBANO",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-398-2572",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.