MD Healthcare Broward LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MD HEALTHCARE BROWARD LLC

Practice address

8890 W Oakland Park Blvd Ste 100
Sunrise, FL 33351-7223

Phone

(954) 741-3305

Fax

(954) 741-3306

NPI assigned

Aug 25, 2017

Organization subpart

No

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

Authorized official

Name

Joseph Di Capua

Title

Ceo

Phone

(561) 843-7720

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1215454756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 N STATE ROAD 7",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635726",
            "telephone_number": "954-586-8058",
            "fax_number": "754-222-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8890 W OAKLAND PARK BLVD STE 100",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517223",
            "telephone_number": "954-741-3305",
            "fax_number": "954-741-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD HEALTHCARE BROWARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "DI CAPUA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-843-7720"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel McKay-Corkum
• Brian McKee, PHARMD
• Debisha A. McKenzie, AA-C
• Chanel McKune
• Karen McNally
• MD Healthcare Management, LLC
• MD Healthcare Sunrise
• MD Now Medical Centers, Inc
• Mdlive Medical Group Or LLC
• Mdlive Medical Group PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.