1477691723 NPI number — SPINNER AND CHUSSID D P M P A

Table of content: (NPI 1477691723)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477691723 NPI number — SPINNER AND CHUSSID D P M P A

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPINNER AND CHUSSID D P M P A
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477691723
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/06/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
201 N UNIVERSITY DR
Provider Second Line Business Mailing Address:
STE 110
Provider Business Mailing Address City Name:
PLANTATION
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33324-2039
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-370-2400
Provider Business Mailing Address Fax Number:
954-370-2459

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 N UNIVERSITY DR
Provider Second Line Business Practice Location Address:
STE 110
Provider Business Practice Location Address City Name:
PLANTATION
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33324-2039
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-370-2400
Provider Business Practice Location Address Fax Number:
954-370-2459
Provider Enumeration Date:
02/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CHUSSID
Authorized Official First Name:
FREDRIC
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
954-370-2400

Provider Taxonomy Codes

  • Taxonomy code: 213ES0103X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 011755900 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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