Broward Primary Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BROWARD PRIMARY CARE LLC

Practice address

320 S Flamingo Rd
Suite 358
Pembroke Pines, FL 33027-1770

Phone

(954) 436-6660

Fax

(954) 436-6655

NPI assigned

Sep 22, 2009

Organization subpart

No

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

Authorized official

Name

Mian Ahmed Hasan, MD

Title

MGR

Phone

(954) 436-6660

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1295069409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S FLAMINGO RD",
            "address_2": "SUITE 358",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271770",
            "telephone_number": "954-436-6660",
            "fax_number": "954-436-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S FLAMINGO RD",
            "address_2": "SUITE 358",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271770",
            "telephone_number": "954-436-6660",
            "fax_number": "954-436-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "MIAN",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "954-436-6660",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Internal Medicine Physician in Florida

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

Verify at the official NPI Registry.