Organization Active NPI

Broward Pace Program LLC

  • PACE Provider Organization
  • Fort Lauderdale, FL
National Provider Identifier
1033924758
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
BROWARD PACE PROGRAM LLC
Practice address
1700 NW 49TH St Ste 150
Fort Lauderdale, FL 33309-3763
Phone
(954) 768-6232
NPI assigned
Feb 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Authorized official

Name
Jeffrey Freimark
Title
Ceo
Phone
(305) 762-1379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

1700 NW 49TH St Ste 150
Fort Lauderdale, FL 33309-3763

Mailing address

1700 NW 49TH St Ste 150
Fort Lauderdale, FL 33309-3763
Phone (954) 768-6232

Other names 1

  • BROWARD PACE PROGRAM LLC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2305602Broward Pace Program LLC1700 NW 49TH Street Suite 150, Fort Lauderdale, FL 33309Certificate of waiverJun 3, 2028

National Provider Directory

National Provider Directory

Locations

1700 NW 49th St
Ste 150
Fort Lauderdale, FL 33309
Phone (954) 768-6232

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1033924758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW 49TH ST STE 150",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093763",
            "telephone_number": "954-768-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NW 49TH ST STE 150",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093763",
            "telephone_number": "954-768-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD PACE PROGRAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "FREIMARK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-762-1379"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROWARD PACE PROGRAM LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.