SPINAL MOTION DIAGNOSTICS FORT LAUDERDALE LLC


Address: 8435 Man O War Road, Palm Beach Gardens, FL 33418
Phone: 9546855343

SPINAL MOTION DIAGNOSTICS FORT LAUDERDALE LLC (NPI# 1063950343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063950343
Entity Type Organization
Organization Name SPINAL MOTION DIAGNOSTICS FORT LAUDERDALE LLC
Practice Address 8435 Man O War Road
Palm Beach Gardens
FL 33418
Mailing Address 5333 N Dixie Hwy
Suite 208
Oakland Park
FL 33334-3414
Practice Telephone 9546855343
Mailing Telephone 9546168076
Enumeration Date 2017-02-07
Last Update Date 2017-02-07
Authorized Official Name MARIA TADROS (OWNER)
Authorized Official Telephone 5616855343
Is Organization Subpart Y
Parent Organization Name SPINAL MOTION DIAGNOSTICS LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Office Location

Street Address 8435 MAN O WAR ROAD
City PALM BEACH GARDENS
State FL
Zip Code 33418

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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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1790113363 Independent Imaging, LLC Clinic/Center 3385 Burns Rd, Suite 109, Palm Beach Gardens, FL 33410-4328 2013-10-17
1487927810 Nicklaus Children's Hospital Palm Beach Gardens Outpatient Center Clinic/Center 11310 Legacy Ave, Palm Beach Gardens, FL 33410-3658 2012-02-15
1518159482 Harbour Diagnostic Imaging Clinic/Center 2401 Pga Blvd, Suite 130, Palm Beach Gardens, FL 33410 2007-08-15

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Competitor

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City PALM BEACH GARDENS
Zip Code 33418

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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