Broward Injury Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BROWARD INJURY CLINIC LLC

Practice address

8333 W McNab Rd Ste 128129
Tamarac, FL 33321-3242

Phone

(561) 386-1479

NPI assigned

Aug 7, 2019

Last updated

Aug 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marcy Mielz

Title

Billing Manager

Phone

(561) 482-1144

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1306491360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9858 CLINT MOORE RD # C111-274",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961034",
            "telephone_number": "561-482-1144",
            "fax_number": "561-482-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 W MCNAB RD STE 128129",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213242",
            "telephone_number": "561-386-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD INJURY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "MIELZ",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "561-482-1144"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DROPBOX",
            "affiliation": "N",
            "address_1": "8333 W McNab Rd Ste 128129",
            "city": "Tamarac",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333213242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Broward Addiction Medical Center LLC (Broward Medical Center)
• Broward Dental Associates (Dr Dulay & Associates)
• Broward Health Consulting PLLC
• Broward Health Medical Group
• Broward Heart Group P a
• Broward Manual Rehab Inc
• Broward Ophthalmology Group
• Brittany Mae Brown
• Courtney S. Brown, M.S., CCC-SLP
• Jamala Annette Brown, MS

• Chiropractor in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.