Active NPI
Lidia Bojorge
- Athletic Trainer
- Ft Lauderdale, FL
National Provider Identifier
1235547753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL3608
- Practice address
- 1601 S Andrews Ave FL 2
Ft Lauderdale, FL 33316-2509 - Phone
- (954) 764-2192
- NPI assigned
- Jul 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL3608 | FL | Primary |
Addresses
Primary practice location
1601 S Andrews Ave FL 2
Ft Lauderdale, FL 33316-2509
Mailing address
2307 W Broward Blvd
Ste 200
Fort Lauderdale, FL 33312-1417
Phone (954) 792-1010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1235547753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 W BROWARD BLVD",
"address_2": "STE 200",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333121417",
"telephone_number": "954-792-1010",
"fax_number": "954-792-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 S ANDREWS AVE FL 2",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333162509",
"telephone_number": "954-764-2192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOJORGE",
"first_name": "LIDIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-28",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL3608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.