Active NPI
Broward Pace Program LLC
- PACE Provider Organization
- Fort Lauderdale, FL
National Provider Identifier
1033924758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2305602 | Broward Pace Program LLC | Certificate of waiver | Jun 3, 2028 |
National Provider Directory
National Provider DirectoryLocations
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
- Broward Multispecialty Group LLC
- Broward Nursing & Rehabilitation Center,LLC
- Broward Oncology and Sickle Cell Center
- Broward Oncology Associates PA
- Broward Orthopedics LLC
- Broward Partnership for the Homeless, Inc.
- Broward Partnerships
- Broward Periodontics PA
- Broward Plastic Surgery, PA
- Broward Speech and Language
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.