NPIMap

Organization Active NPI

Pathology Consultants of South Broward, LLP

  • Anatomic Pathology & Clinical Pathology Physician
  • Hollywood, FL
National Provider Identifier
1306501028
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
PATHOLOGY CONSULTANTS OF SOUTH BROWARD, LLP
Practice address
1005 Jo Dimaggio Drive
Hollywood, FL 33021
Phone
(954) 276-1864
NPI assigned
Nov 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Artur Eduardo de Oliveira Rangel Filho, MD
Title
Owner
Phone
(954) 276-1864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

1005 Jo Dimaggio Drive
Hollywood, FL 33021

Mailing address

9581 Premier Pkwy
Miramar, FL 33025-3206
Phone (954) 276-1864

National Provider Directory

National Provider Directory
Tax ID family
Pathology Consultants of South Broward LLP6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

9581 Premier Pkwy
Miramar, FL 33025
Phone (954) 276-1864

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1306501028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9581 PREMIER PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253206",
            "telephone_number": "954-276-1864",
            "fax_number": "954-967-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 JO DIMAGGIO DRIVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "954-276-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY CONSULTANTS OF SOUTH BROWARD, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "RANGEL FILHO",
        "authorized_official_first_name": "ARTUR",
        "authorized_official_middle_name": "EDUARDO DE OLIVEIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-276-1864",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.