Organization Active NPI

Broward Medical PLLC

  • Family Medicine Physician
  • Margate, FL
National Provider Identifier
1295090041
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BROWARD MEDICAL PLLC
Practice address
6261 W Atlantic Blvd
Margate, FL 33063-5105
Phone
(954) 218-5395
Fax
(786) 441-4365
NPI assigned
Jul 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Mrs. Fauzia Jaffer
Title
President
Phone
(954) 218-5395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6261 W Atlantic Blvd
Margate, FL 33063-5105

Mailing address

3410 Stallion LN
Weston, FL 33331-3035
Phone (954) 218-5395

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1295090041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 STALLION LN",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313035",
            "telephone_number": "954-218-5395",
            "fax_number": "786-441-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6261 W ATLANTIC BLVD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635105",
            "telephone_number": "954-218-5395",
            "fax_number": "786-441-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "JAFFER",
        "authorized_official_first_name": "FAUZIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-218-5395",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.