Broward Integrative Medical LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BROWARD INTEGRATIVE MEDICAL LLC

Doing business as

Broward Integrative Medical

Practice address

1749 NE 26TH St Ste E
Wilton Manors, FL 33305-1428

Phone

(754) 218-7163

NPI assigned

Nov 23, 2020

Last updated

Nov 23, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

BROWARD INTEGRATIVE MEDICALAs reported in NPPES

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

Authorized official

Name

Mr. Rainford Poyser, APRN

Title

Owner

Phone

(754) 218-7163

Specialties & licenses 4

Addresses

Other names 1

• Broward Integrative Medical Doing business as

Part of

Broward Integrative Medical

Locations

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1184228975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 NE 26TH ST STE E",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051428",
            "telephone_number": "754-218-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 NE 26TH ST STE E",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051428",
            "telephone_number": "754-218-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD INTEGRATIVE MEDICAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROWARD INTEGRATIVE MEDICAL",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "POYSER",
        "authorized_official_first_name": "RAINFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-218-7163",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broward Integrative Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Brauss, PA
• Giancarlo Brezillion, DMD
• William Anthony Brody Jr.
• Michelle Ann Brooks, BA
• Karl S Brot, MD
• Daniel D Brown, SLPA
• Terri-Ann Brown, ARNP
• Lori B Bryant
• Rafaela Buenaventura, LCSW
• Janene Bussell, PHD

• Family Nurse Practitioner in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.