Dr Virginia a Fatato DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DR VIRGINIA A FATATO DC PA

Doing business as

Functional Spine & Wellness

Practice address

9768 W Sample Rd
Coral Springs, FL 33065-4004

Phone

(754) 444-7060

Fax

(754) 229-8712

NPI assigned

Jun 3, 2019

Last updated

Jun 3, 2019By 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. Virginia A Fatato, DC

Title

President

Phone

(754) 444-7060

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FUNCTIONAL SPINE & WELLNESS Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Damian Mark Fronzaglia, D.C.

  • Chiropractor
  • Coral Springs, FL
  • NPI 1215081237
  NPD (past)

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1912565110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9768 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654004",
            "telephone_number": "754-444-7060",
            "fax_number": "754-229-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9768 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654004",
            "telephone_number": "754-444-7060",
            "fax_number": "754-229-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR VIRGINIA A FATATO DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "FATATO",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "754-444-7060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "220JL",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FUNCTIONAL SPINE & WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.