Organization Active NPI

MD Healthcare Hillsboro

  • Primary Care Clinic/Center
  • Deerfield Beach, FL
National Provider Identifier
1053089953
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MD HEALTHCARE HILLSBORO
Practice address
220 SW Natura Ave
Deerfield Beach, FL 33441-3026
Phone
(954) 425-9154
Fax
(954) 425-9162
NPI assigned
Sep 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Derwin Weserburger
Title
Owner/Ceo
Phone
(786) 229-9733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

220 SW Natura Ave
Deerfield Beach, FL 33441-3026

Mailing address

304 Indian Trce Ste 636
Weston, FL 33326-2996
Phone (954) 425-9154

National Provider Directory

National Provider Directory

Locations

220 SW Natura Ave
Deerfield Beach, FL 33441
Phone (561) 392-2021

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1053089953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 INDIAN TRCE STE 636",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262996",
            "telephone_number": "954-425-9154",
            "fax_number": "954-425-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SW NATURA AVE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413026",
            "telephone_number": "954-425-9154",
            "fax_number": "954-425-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD HEALTHCARE HILLSBORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "WESERBURGER",
        "authorized_official_first_name": "DERWIN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "786-229-9733"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.