Individual provider Active NPI

Laureen A Biczak, DO

  • Infectious Disease Physician
  • Hollywood, FL
National Provider Identifier
1073579074
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
OS17504 Issued in FL
Practice address
5647 Hollywood Blvd
Hollywood, FL 33021-6325
Phone
(954) 276-1616
Fax
(954) 276-0186
NPI assigned
Apr 26, 2006
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X OS17504 FL Primary

Addresses

Primary practice location

5647 Hollywood Blvd
Hollywood, FL 33021-6325

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-3000

Other identifiers 1

IdentifierTypeStateIssuer
112811500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050607000893 ME Practitioner - Infectious DiseasePractitioner - Internal Medicine 8729021068 Reassigns benefits to 1 organization
I20220121001969 FL Practitioner - Infectious Disease 8729021068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of New England, College of Osteo Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

5647 Hollywood Blvd
Hollywood, FL 33021-6325
Phone (954) 276-1616

601 N Flamingo Rd
Suite 302
Pembroke Pines, FL 33028-1010
Phone (954) 276-1616

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS17504FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners Internal Medicine CurrentSince Jan 6, 2021 Accepting new patients
South Broward Hospital District CurrentSince Jan 1, 2022 Accepting new patients
South Broward Hospital District Infectious Disease CurrentSince Jan 1, 2022 Accepting new patients
Maine Medical Partners CurrentSince Jan 6, 2021 Accepting new patients

Locations

1150 N 35th Ave
Ste 135
Hollywood, FL 33021
Phone (954) 265-6989

5647 Hollywood Blvd
Hollywood, FL 33021
Phone (954) 276-1616

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491

50 Foden Rd
Ste 3
South Portland, ME 04106
Phone (207) 523-3700

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1073579074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-3000",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5647 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216325",
            "telephone_number": "954-276-1616",
            "fax_number": "954-276-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICZAK",
        "first_name": "LAUREEN",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "OS17504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112811500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.