Active NPI
South Broward Vascular Associates LLC
- Vascular Surgery Physician
- Hollywood, FL
National Provider Identifier
1215165121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- ME71836
- Legal business name
- SOUTH BROWARD VASCULAR ASSOCIATES LLC
- Practice address
- 3850 Hollywood Blvd
302
Hollywood, FL 33021-6748 - Phone
- (954) 989-5533
- Fax
- (954) 989-5677
- NPI assigned
- Jun 30, 2009
- Last updated
- Aug 24, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey A Hertz, M.D.
- Title
- Vice President
- Phone
- (954) 989-5533
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | ME71836 | FL | Primary |
Addresses
Primary practice location
3850 Hollywood Blvd
302
Hollywood, FL 33021-6748
Mailing address
3850 Hollywood Blvd
302
Hollywood, FL 33021-6748
Phone (954) 989-5533
National Provider Directory
National Provider DirectoryLocations
1150 N 35th Ave
Ste 460
Hollywood, FL 33021
Phone (954) 265-1125
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Vascular Surgery Physician
- Hollywood, FL
- NPI 1639145774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251072000000",
"number": "1215165121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 HOLLYWOOD BLVD",
"address_2": "302",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216748",
"telephone_number": "954-989-5533",
"fax_number": "954-989-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 HOLLYWOOD BLVD",
"address_2": "302",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216748",
"telephone_number": "954-989-5533",
"fax_number": "954-989-5677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH BROWARD VASCULAR ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-30",
"last_updated": "2009-08-24",
"status": "A",
"authorized_official_last_name": "HERTZ",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "954-989-5533",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME71836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
- South Broward Hospital District (Memorial Division of Advanced Heart Failure)
- South Broward Imaging LLC
- South Broward MRI Center, LTD (MRI of South Broward)
- South Broward MRI, LLC (The MRI Group of Hollywood)
- South Broward Nephrology & Hypertension Associates PA
- South Care 4 All Inc (Southcare Behavioral Health)
- South Florida Cardiothoracic and Vascular Surgery PL
- South Florida Care Resources,Inc
- South Florida Family Medical Center, LLC.
- South Florida Geriatrics and Palliative Medicine PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.