Phoenix Emergency Medicine of Broward LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME39895 Issued in FL

Legal business name

PHOENIX EMERGENCY MEDICINE OF BROWARD LLC

Practice address

9201 W Oakland Park Blvd
Sunrise, FL 33351-7231

Phone

(954) 939-5000

Fax

(877) 250-6889

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Christopher Kennedy

Title

Authorized Official

Phone

(207) 807-9009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Phoenix Emergency Medicine of Broward LLC

  • Emergency Medicine Physician
  • Deerfield Beach, FL
  • NPI 1407805591

  O20040505001132

  Same enrollment
• Phoenix Emergency Medicine of Broward LLC

  • Emergency Medicine Physician
  • Ft Lauderdale, FL
  • NPI 1598714685

  O20040505001132

  Same enrollment
• Phoenix Emergency Medicine of Broward LLC

  • Emergency Medicine Physician
  • Coral Springs, FL
  • NPI 1871542969

  O20040505001132

  Same enrollment
• Phoenix Emergency Medicine of Broward LLC

  • Emergency Medicine Physician
  • Ft Lauderdale, FL
  • NPI 1992708887

  O20040505001132

  Same enrollment

Tax ID family

Phoenix Emergency Medicine of Broward LLC3 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.

• Phoenix Emergency Medicine of Broward LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1316898612
  NPD tax ID
• Phoenix Emergency Medicine of Broward LLC

  • Emergency Medicine Physician
  • Lighthouse Point, FL
  • NPI 1841140571
  NPD tax ID

Locations

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1144279233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781184",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191781184",
            "telephone_number": "954-939-5000",
            "fax_number": "877-250-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517231",
            "telephone_number": "954-939-5000",
            "fax_number": "877-250-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX EMERGENCY MEDICINE OF BROWARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "207-807-9009"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME39895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Philippe
• Phillip P Gager D C P a
• Maureen Phillips
• Nicole Phillips, BCBA
• Fabia S Philogene
• Physician Choice Pharmacy LLC
• Physicians Care Plus Inc
• Physicians Health Care Systems LLC
• Physicians of Traditional Chinese Medicine Inc
• Sandra J Piacente, LMHC

• Emergency Medicine Physician in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.