Provider Type Icon

BROWARD SPINE INSTITUTE LLC NPI 1821219155


NPI Information

NPI: 1821219155
Provider Name: BROWARD SPINE INSTITUTE LLC
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

CLIA Number: 10D2003963

Address:
3702 WASHINGTON ST
STE 101
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 272-2225
Get Directions

BROWARD SPINE INSTITUTE LLC is an orthopaedic surgery of the spine orthopaedic surgery in Hollywood, FL. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. BROWARD SPINE INSTITUTE LLC NPI is 1821219155. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3702 WASHINGTON ST
STE 101
HOLLYWOOD, FL
ZIP 33021-282
Phone: (954) 272-2225
Fax: (954) 272-0554

The provider's authorized official is Marshall Stauber .
The authorized official title is Owner and has the following contact phone number (954) 272-2225.

The CLIA number assigned to this NPI record is 10D2003963 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 5/18/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorNo
2171100000XAcupuncturistNo
3208100000XPhysical Medicine & RehabilitationNo
4207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
174849MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.