Philip Fred Averbuch, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

M23434 Issued in FL

Practice address

9750 NW 33Rd St Ste 116
Coral Springs, FL 33065-4000

Phone

(954) 722-0040

Fax

(954) 344-7964

NPI assigned

Oct 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1902895790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 NW 33RD ST STE 116",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654000",
            "telephone_number": "954-722-0040",
            "fax_number": "954-344-7964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 NW 33RD ST STE 116",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654000",
            "telephone_number": "954-722-0040",
            "fax_number": "954-344-7964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7171 N University Dr",
            "address_2": "suite 105",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "333212902",
            "country_code": "US",
            "telephone_number": "954-722-0040",
            "fax_number": "954-722-0043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVERBUCH",
        "first_name": "PHILIP",
        "middle_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "M023424",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "M23434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054001300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Maria Ayala-Amisial

• Orthopaedic Surgery Physician in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.