NPIMap

Organization Active NPI

Hollywood Medical Associates

  • Chiropractor
  • Hollywood, FL
National Provider Identifier
1891017869
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9389 Issued in FL
Legal business name
HOLLYWOOD MEDICAL ASSOCIATES
Practice address
6030 Hollywood Blvd.
Suite 250
Hollywood, FL 33024
Phone
(561) 627-2821
Fax
(561) 627-0542
NPI assigned
Feb 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Rafael Foss, DC
Title
MM
Phone
(786) 370-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9389 FL Primary

Addresses

Primary practice location

6030 Hollywood Blvd.
Suite 250
Hollywood, FL 33024

Mailing address

PO Box 6455
West Palm Beach, FL 33405
Phone (561) 627-2821

National Provider Directory

National Provider Directory

Locations

6030 Hollywood Blvd
Ste 250
Pembroke Pines, FL 33024
Phone (561) 627-2821

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1891017869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6455",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33405",
            "telephone_number": "561-627-2821",
            "fax_number": "561-627-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 HOLLYWOOD BLVD.",
            "address_2": "SUITE 250",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "561-627-2821",
            "fax_number": "561-627-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "FOSS",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "MM",
        "authorized_official_telephone_number": "786-370-1111",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.