Individual provider Active NPI

Laurence Davidson, M.D.

  • Neurological Surgery Physician
  • Hollywood, FL
National Provider Identifier
1194934968
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME151206 Issued in FL
Practice address
1150 N 35TH Ave Ste 520
Hollywood, FL 33021-5431
Phone
(954) 265-3500
Fax
(954) 985-4230
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME151206 FL Primary

Addresses

Primary practice location

1150 N 35TH Ave Ste 520
Hollywood, FL 33021-5431

Mailing address

2900 Corporate Way
Miramar, FL 33025-3925

Other practice location 1

5458 Town Center Rd Ste 102
Boca Raton, FL 33486-1026
Phone (561) 341-7220

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ldavidson279015@MHSDIRECT.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210817003446 FL Practitioner - Neurosurgery 9739345513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2003
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)

1150 N 35TH Ave
Hollywood, FL 33021-5431

1150 N 35TH Ave
Suite 300
Hollywood, FL 33021-5428
Phone (954) 985-1490

3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 265-9976

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME151206FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District Neurological Surgery CurrentSince Aug 1, 2021 Accepting new patients
South Broward Hospital District CurrentSince Aug 1, 2021 Accepting new patients
South Broward Hospital District Current Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

5458 Town Center Rd
Ste 102
Boca Raton, FL 33486
Phone (561) 347-8077

1150 N 35th Ave
Ste 300
Hollywood, FL 33021
Phone (954) 265-1490

1150 N 35th Ave
Ste 520
Hollywood, FL 33021
Phone (954) 265-2423

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

Interoperability endpoints

  • Direct secure messaging: ldavidson279015@mhsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1194934968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE STE 520",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215431",
            "telephone_number": "954-265-3500",
            "fax_number": "954-985-4230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5458 Town Center Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334861026",
            "country_code": "US",
            "telephone_number": "561-341-7220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "LAURENCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME151206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldavidson279015@MHSDIRECT.NET",
            "affiliation": "N",
            "address_1": "1150 N 35th Ave Ste 520",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330215431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.