Organization Active NPI

The Broward Heart Group PA

  • Cardiovascular Disease Physician
  • Margate, FL
National Provider Identifier
1124050604
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0059203 Issued in FL
Legal business name
THE BROWARD HEART GROUP PA
Practice address
5901 Colonial Dr
Suite 301
Margate, FL 33063-5675
Phone
(954) 984-9090
Fax
(954) 984-0890
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Mrs. Cheryl Payne
Title
Business Office Manager
Phone
(954) 344-8598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME0059203 FL Primary

Addresses

Primary practice location

5901 Colonial Dr
Suite 301
Margate, FL 33063-5675

Mailing address

9800 W Sample Rd
Suite C
Coral Springs, FL 33065-4039
Phone (954) 344-8598

Other identifiers 1

IdentifierTypeStateIssuer
45590OtherFLBC BS FL PROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
The Broward Heart Group PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1124050604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 W SAMPLE RD",
            "address_2": "SUITE C",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654039",
            "telephone_number": "954-344-8598",
            "fax_number": "954-344-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 COLONIAL DR",
            "address_2": "SUITE 301",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635675",
            "telephone_number": "954-984-9090",
            "fax_number": "954-984-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BROWARD HEART GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "954-344-8598",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0059203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS FL PROVIDER NUMBER",
            "identifier": "45590",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.