Organization Active NPI

CBD Skeletal Solutions, LLC

  • Durable Medical Equipment & Medical Supplies
  • Ft. Lauderdale, FL
National Provider Identifier
1942769534
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CBD SKELETAL SOLUTIONS, LLC
Practice address
630 Tennis Club Drive
Outerbridge - 407
Ft. Lauderdale, FL 33311
Phone
(717) 586-6752
Fax
(717) 757-5012
NPI assigned
Mar 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Authorized official

Name
Dr. Cara Bornt-Davis
Title
Managing Partner
Phone
(717) 586-6752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

630 Tennis Club Drive
Outerbridge - 407
Ft. Lauderdale, FL 33311

Mailing address

630 Tennis Club Drive
Outerbridge - 407
Ft. Lauderdale, FL 33311
Phone (717) 586-6752

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1942769534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 TENNIS CLUB DRIVE",
            "address_2": "OUTERBRIDGE - 407",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33311",
            "telephone_number": "717-586-6752",
            "fax_number": "717-757-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 TENNIS CLUB DRIVE",
            "address_2": "OUTERBRIDGE - 407",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33311",
            "telephone_number": "717-586-6752",
            "fax_number": "717-757-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBD SKELETAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "BORNT-DAVIS",
        "authorized_official_first_name": "CARA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "717-586-6752",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft. Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.