Provider Demographics
NPI:1427258813
Name:NON SURGICAL CENTER FOR PHYSICAL AND SPORTS MEDICINE INC
Entity type:Organization
Organization Name:NON SURGICAL CENTER FOR PHYSICAL AND SPORTS MEDICINE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:ERIK
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-316-4905
Mailing Address - Street 1:6766 W SUNRISE BLVD
Mailing Address - Street 2:SUITE 100A
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33313-6066
Mailing Address - Country:US
Mailing Address - Phone:954-316-4905
Mailing Address - Fax:954-316-4969
Practice Address - Street 1:6766 W SUNRISE BLVD
Practice Address - Street 2:SUITE 100A
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33313-6066
Practice Address - Country:US
Practice Address - Phone:954-316-4905
Practice Address - Fax:954-316-4969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8517261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care