Imis Surgery Injuries of S.Florida PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

IMIS SURGERY INJURIES OF S.FLORIDA PLLC

Practice address

1100 W Oakland Park Blvd
Unit 3
Wilton Manors, FL 33311-1612

Phone

(954) 626-0063

Fax

(888) 691-6040

NPI assigned

Dec 28, 2011

Organization subpart

No

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

Authorized official

Name

Tammy M Rodriguez

Title

Billing Manager

Phone

(954) 626-0063

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1972872562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W OAKLAND PARK BLVD",
            "address_2": "UNIT 3",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333111612",
            "telephone_number": "954-626-0063",
            "fax_number": "888-691-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W OAKLAND PARK BLVD",
            "address_2": "UNIT 3",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333111612",
            "telephone_number": "954-626-0063",
            "fax_number": "888-691-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMIS SURGERY INJURIES OF S.FLORIDA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "954-626-0063"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.