DR. MICHAEL SURDIS, JR. (NPI# 1538111570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538111570 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SURDIS, JR. |
| Credential | D.C. |
| Practice Address |
1561 N Palm Ave Pembroke Pines FL 33026-3229 |
| Practice Telephone | 9544432420 |
| Practice Fax Number | 9544438422 |
| Mailing Telephone | 9544432420 |
| Mailing Fax Number | 9544438422 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH6300 | FL | Chiropractic Providers |
| Street Address |
1561 N PALM AVE |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026-3229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548211972 | Dr. Michael Surdis, Jr. P.a. | Chiropractor | 1561 N Palm Ave, Pembroke Pines, FL 33026-3229 | 2006-05-12 |
| 1194999292 | Barry Philip Klein | Chiropractor | 1561 N Palm Ave, Pembroke Pines, FL 33026-3229 | 2008-04-18 |
| 1215988407 | Vivian Marmolejo | Physical Therapist | 1561 N Palm Ave, Pembroke Pines, FL 33026-3229 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| 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 |
|---|---|---|---|---|
| 1982239851 | Health Pines, LLC | Chiropractor | 9050 Pines Blvd Ste 253, Pembroke Pines, FL 33024-6400 | 2020-03-11 |
| 1255983383 | Elevate Chiropractic Wellness LLC | Chiropractor | 2041 Nw 85th Way, Pembroke Pines, FL 33024-3445 | 2019-07-09 |
| 1316507502 | Structural Spinal Care, LLC | Chiropractor | 12251 Taft St Ste 403, Pembroke Pines, FL 33026-1915 | 2019-06-19 |
| 1609431907 | Crma Reports, LLC | Chiropractor | 13450 Sw 3rd St Apt 204d, Pembroke Pines, FL 33027-2050 | 2019-05-02 |
| 1386144046 | Alfonso Chie | Chiropractor | 18249 Pines Blvd, Pembroke Pines, FL 33029 | 2018-02-19 |
| 1841716453 | Ivy Joy Rahn | Chiropractor | 12333 Nw 18th St Ste 1, Pembroke Pines, FL 33026-4386 | 2017-08-15 |
| 1033509450 | Fritz Junior Philippe | Chiropractor | 7901 Nw 3rd St, Apt 23204, Pembroke Pines, FL 33024-1282 | 2015-01-24 |
| 1184040602 | Kristin Ibanez | Chiropractor | 8680 Nw 10th St, Pembroke Pines, FL 33024-4804 | 2014-03-07 |
| 1861813511 | Glen Siegel P.a. | Chiropractor | 7942 Pines Blvd, Pembroke Pines, FL 33024-6908 | 2013-12-26 |
| 1053696864 | West Pines Health Center, Pa | Chiropractor | 20170 Pines Blvd., #101, Pembroke Pines, FL 33029 | 2011-10-13 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
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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.