Injury Management, LLC

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

License

ME043407 Issued in FL

Legal business name

INJURY MANAGEMENT, LLC

Practice address

4010 NW 100TH Ave
Coral Springs, FL 33065-1549

Phone

(954) 298-4015

Fax

(954) 341-9772

NPI assigned

Jul 10, 2012

Last updated

Jul 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Judith Mitchell Johnson, M.D.

Title

Manager

Phone

(954) 298-4015

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1912262544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 NW 100TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 NW 100TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651549",
            "telephone_number": "954-298-4015",
            "fax_number": "954-341-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-298-4015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "FL",
            "license": "ME043407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278013503",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.