NPIMap

Organization Active NPI

Polo Medical Center PSL

  • Rehabilitation Chiropractor
  • Port St Lucie, FL
National Provider Identifier
1861897597
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH0007758 Issued in FL
Legal business name
POLO MEDICAL CENTER PSL
Practice address
6688 S US Highway 1
Port St Lucie, FL 34952-1422
Phone
(561) 686-3201
NPI assigned
Oct 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Bruce Osler, DO
Title
President
Phone
(561) 686-3201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X CH0007758 FL Primary

Addresses

Primary practice location

6688 S US Highway 1
Port St Lucie, FL 34952-1422

Mailing address

1501 Presidential Way Ste 19
West Palm Beach, FL 33401-1852
Phone (561) 686-3201

Other names 1

  • SOUTH FLORIDA SPINE AND JOINT CENTERS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Polo Medical Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1861897597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 PRESIDENTIAL WAY STE 19",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334011852",
            "telephone_number": "561-686-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6688 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349521422",
            "telephone_number": "561-686-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLO MEDICAL CENTER PSL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "OSLER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-686-3201",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH0007758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH FLORIDA SPINE AND JOINT CENTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.