Organization Active NPI

Alliance Spine & Joint III, Inc.

  • Health Service Clinic/Center
  • Pompano Beach, FL
National Provider Identifier
1912302621
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ALLIANCE SPINE & JOINT III, INC.
Practice address
150 SW 12TH Ave
Suite 101a
Pompano Beach, FL 33069-3298
Phone
(954) 773-9596
Fax
(954) 773-9597
NPI assigned
Oct 24, 2014
Last updated
Oct 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Mr. Sagi Shaked
Title
President
Phone
(305) 790-5037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X FL Primary

Addresses

Primary practice location

150 SW 12TH Ave
Suite 101a
Pompano Beach, FL 33069-3298

Mailing address

815 SE 1St Ave
Suite a
Hallandale Beach, FL 33009-7102
Phone (954) 773-9596

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1912302621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 SE 1ST AVE",
            "address_2": "SUITE A",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097102",
            "telephone_number": "954-773-9596",
            "fax_number": "954-773-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SW 12TH AVE",
            "address_2": "SUITE 101A",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693298",
            "telephone_number": "954-773-9596",
            "fax_number": "954-773-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE SPINE & JOINT III, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "SHAKED",
        "authorized_official_first_name": "SAGI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-790-5037",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "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 Oct 24, 2014; 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.