Organization Active NPI

United Baptist Group of Broward

  • General Practice Physician
  • Miramar, FL
National Provider Identifier
1275583528
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
UNITED BAPTIST GROUP OF BROWARD
Practice address
14359 Miramar Parkway
Ste 347
Miramar, FL 33027
Phone
(954) 478-6299
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Cristobal Serrano
Title
President
Phone
(954) 478-6299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

14359 Miramar Parkway
Ste 347
Miramar, FL 33027

Mailing address

14359 Miramar Parkway
Ste 347
Miramar, FL 33027
Phone (954) 478-6299

Other names 1

  • Corporation Other name

National Provider Directory

National Provider Directory
Tax ID family
Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275583528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14359 MIRAMAR PARKWAY",
            "address_2": "STE 347",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33027",
            "telephone_number": "954-478-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14359 MIRAMAR PARKWAY",
            "address_2": "STE 347",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33027",
            "telephone_number": "954-478-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED BAPTIST GROUP OF BROWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "CRISTOBAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-478-6299",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.