Broward Medical Center of Davie Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS5410 Issued in FL

Legal business name

BROWARD MEDICAL CENTER OF DAVIE INC

Practice address

1330 Riverland Rd
Fort Lauderdale, FL 33312-2961

Phone

(954) 321-9826

Fax

(954) 321-9660

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Hunt, D.O.

Title

President

Phone

(954) 321-9826

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376658294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 RIVERLAND RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122961",
            "telephone_number": "954-321-9826",
            "fax_number": "954-321-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 RIVERLAND RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122961",
            "telephone_number": "954-321-9826",
            "fax_number": "954-321-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD MEDICAL CENTER OF DAVIE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-321-9826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Family Medicine Physician in Florida

• 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.