SOUTH BROWARD PAIN & REHAB CENTER, INC. (NPI# 1437226776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437226776 |
| Entity Type | Organization |
| Organization Name | SOUTH BROWARD PAIN & REHAB CENTER, INC. |
| Practice Address |
6049 Miramar Pkwy Miramar FL 33023-3937 |
| Mailing Address |
6049 Miramar Pkwy Miramar FL 33023-9337 |
| Practice Telephone | 9549834410 |
| Practice Fax Number | 9549838354 |
| Mailing Telephone | 9549834410 |
| Mailing Fax Number | 9549838354 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ERIC R. MILLER (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9549834410 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH5357 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUECROSS ID# | 22167 | 01 |
| Street Address |
6049 MIRAMAR PKWY |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33023-3937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326114380 | Eric Roy Miller | Chiropractor | 6049 Miramar Pkwy, Miramar, FL 33023-3937 | 2006-11-28 |
| 1073843611 | William Michael Seufert | Chiropractor | 6049 Miramar Pkwy, Miramar, FL 33023-3937 | 2010-01-04 |
| 1053553198 | Melina A Cadet | Contractor | 6049 Miramar Pkwy, Miramar, FL 33023 | 2009-04-06 |
| 1114128568 | Donald Coles | Acupuncturist | 6049 Miramar Pkwy, Miramar, FL 33023-3937 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516139 | Jp Rock Consulting Inc | Nurse Practitioner | 5619 Madison St, Hollywood, FL 33023 | 2020-07-23 |
| 1144789843 | Fausta Mortimer Virgile | Nurse Practitioner | 6640 Dahlia Drive, Miramar, FL 33023 | 2019-03-13 |
| 1245758812 | Lunie Madhere | Family Medicine | 7201 Harbour Blvd, Miramar, FL 33023 | 2017-09-05 |
| 1790203305 | Cassandra Mckenley | Occupational Therapy Assistant | 2931 Utopia Dr, Miramar, FL 33023 | 2017-09-04 |
| 1518497130 | Paradise Senior Center Inc | Clinic/Center | 6240 Pembroke Rd, Miramar, FL 33023 | 2017-06-15 |
| 1710416128 | Optimum Health & Nutrition, LLC | Nutritionist | 3261 Sw 64th Terrace, Miramar, FL 33023 | 2017-06-08 |
| 1275064271 | Esther Ranero Carrazana | Behavioral Analyst | 6412 Sw 21st St, Miramar, FL 33023 | 2017-03-22 |
| 1598208944 | Timothy M Johnson | Contractor | 2637 Pine Tree Dr, Miramar, FL 33023 | 2016-12-02 |
| 1619426392 | Tunlab Home Health Agency Inc. | Day Training, Developmentally Disabled Services | 6724 Camelia Drive, Miramar, FL 33023 | 2016-09-23 |
| 1215385182 | Ruth Giraudy | Behavior Technician | 7912 Biltmore Blvd, Miramar, FL 33023 | 2016-06-01 |
| Find all providers in zip 33023 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972994598 | Mildred Morency | Chiropractor | 7971 Riviera Blvd Ste 101, Miramar, FL 33023-6446 | 2015-02-18 |
| 1912277179 | Venessa Walker | Chiropractor | 8844 Miramar Pkwy, Miramar, FL 33025-2732 | 2012-01-05 |
| 1659677300 | Kevin Marlin | Chiropractor | 1962 Sw 185th Ave, Miramar, FL 33029-5954 | 2011-01-27 |
| 1295960607 | My Spine Docs, Corp | Chiropractor | 3190 S State Road 7 Ste 12b, Miramar, FL 33023-5280 | 2009-05-29 |
| 1730337692 | Miramar Medical Center | Chiropractor | 6890 Miramar Pkwy, Suite F, Miramar, FL 33023 | 2008-09-04 |
| 1407010770 | Hochman Family Chiropractic Inc | Chiropractor | 11613 Red Road, Miramar, FL 33025 | 2008-07-15 |
| 1891903803 | Alan Himmel | Chiropractor | 18475 Miramar Pkwy, Miramar, FL 33029-5871 | 2007-05-21 |
| 1114134897 | Adrian Sagman | Chiropractor | 6890 Miramar Parkway, Suite F, Miramar, FL 33023 | 2007-05-16 |
| 1609081074 | David Michael Steiner | Chiropractor | 6161 Miramar Parkway, Miramar, FL 33024 | 2007-05-11 |
| 1841310042 | Valeria Valenzuela | Chiropractor | 14323 Miramar Pkwy, Miramar, FL 33027-4134 | 2007-03-30 |
| Find all providers in MIRAMAR | ||||
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| 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.