Healthcare Provider Details

I. General information

NPI: 1912797515
Provider Name (Legal Business Name): CONTINUUM MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2025
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3475 SHERIDAN ST STE 101
HOLLYWOOD FL
33021-3633
US

IV. Provider business mailing address

3475 SHERIDAN ST STE 101
HOLLYWOOD FL
33021-3633
US

V. Phone/Fax

Practice location:
  • Phone: 973-699-1459
  • Fax:
Mailing address:
  • Phone: 973-699-1459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ERICA REILLY
Title or Position: PRACTICE MANAGER
Credential:
Phone: 973-932-2148