Organization Active NPI

Affordahealth of Pompano LLC

  • Family Medicine Physician
  • Pompano Beach, FL
National Provider Identifier
1407228315
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AFFORDAHEALTH OF POMPANO LLC
Practice address
50 NE 26TH Ave
Suite 203
Pompano Beach, FL 33062-5239
Phone
(954) 781-6908
Fax
(954) 781-6909
NPI assigned
Oct 30, 2015
Last updated
Oct 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
Laura B Burke
Title
MGMR
Phone
(954) 781-6908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

50 NE 26TH Ave
Suite 203
Pompano Beach, FL 33062-5239

Mailing address

50 NE 26TH Ave
Suite 203
Pompano Beach, FL 33062-5239
Phone (954) 781-6908

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1407228315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NE 26TH AVE",
            "address_2": "SUITE 203",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330625239",
            "telephone_number": "954-781-6908",
            "fax_number": "954-781-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NE 26TH AVE",
            "address_2": "SUITE 203",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330625239",
            "telephone_number": "954-781-6908",
            "fax_number": "954-781-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDAHEALTH OF POMPANO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MGMR",
        "authorized_official_telephone_number": "954-781-6908"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.