Broward Medical Center Group, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BROWARD MEDICAL CENTER GROUP, INC

Practice address

5920 Johnson St
Ste 104
Hollywood, FL 33021-5652

Phone

(954) 985-0985

NPI assigned

Aug 13, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Natalia Mena

Title

President

Phone

(954) 985-0985

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1013222165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 JOHNSON ST",
            "address_2": "STE 104",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215652",
            "telephone_number": "954-985-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 JOHNSON ST",
            "address_2": "STE 104",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215652",
            "telephone_number": "954-985-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD MEDICAL CENTER GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "MENA",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-985-0985"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broward Institute of Orthopaedic
• Broward Institute of Orthopaedic Specialties LLC
• Broward Institute of Orthopaedic Specialties LLC
• Broward Institute of Orthopaedic Specialties LLC
• Broward Medical & Rehab Inc
• Broward Optimum Eye Care P.a.
• Broward Palm Medical Center 1, LLC
• Broward Pediatric Dentists PA
• Broward Periodontics and Implant Dentistry PLLC
• Broward Pharmacy & Discount Store Inc

• Clinic/Center in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.