Boynton Beach Spine & Nerve Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BOYNTON BEACH SPINE & NERVE INC

Practice address

4895 Windward Passage Dr
Suite 9
Boynton Beach, FL 33436-7741

Phone

(561) 601-1702

Fax

(561) 687-2676

NPI assigned

Apr 3, 2012

Organization subpart

No

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

Authorized official

Name

Lawrence Precipuo, D. C.

Title

President/Owner

Phone

(561) 601-1702

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1881950806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4895 WINDWARD PASSAGE DR",
            "address_2": "SUITE 9",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367741",
            "telephone_number": "561-601-1702",
            "fax_number": "561-687-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 WINDWARD PASSAGE DR",
            "address_2": "SUITE 9",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367741",
            "telephone_number": "561-601-1702",
            "fax_number": "561-687-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYNTON BEACH SPINE & NERVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "PRECIPUO",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "561-601-1702",
        "authorized_official_credential": "D. C."
    },
    "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 Apr 3, 2012; 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.