Organization Active NPI

Suncoast Health Clinic, Inc

  • Chiropractor
  • Pompano Beach, FL
National Provider Identifier
1902154586
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SUNCOAST HEALTH CLINIC, INC
Practice address
3955 N. Federal Highway
Pompano Beach, FL 33064-6042
Phone
(954) 933-7803
NPI assigned
Aug 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Cora C Moody, BA
Title
Billing Manager
Phone
(954) 722-0042

Specialties & licenses 1

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

Addresses

Primary practice location

3955 N. Federal Highway
Pompano Beach, FL 33064-6042

Mailing address

3955 N. Federal Highway
Pompano Beach, FL 33064-6042
Phone (954) 933-7803

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1902154586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 N. FEDERAL HIGHWAY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646042",
            "telephone_number": "954-933-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 N. FEDERAL HIGHWAY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646042",
            "telephone_number": "954-933-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST HEALTH CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "CORA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "954-722-0042",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.