Organization Active NPI

Broward Health

  • Rehabilitation Hospital Unit
  • Fort Lauderdale, FL
National Provider Identifier
1407302045
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
AL 638 Issued in FL
Legal business name
BROWARD HEALTH
Practice address
1800 SW 5TH Place
Ft. Lauderdale, FL 33309
Phone
(754) 323-2100
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Jimmy L. Jefferson Jr.
Title
Athletic Trainer
Phone
(954) 632-9809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X AL 638 FL Primary

Addresses

Primary practice location

1800 SW 5TH Place
Ft. Lauderdale, FL 33309

Mailing address

2720 South Oakland Forest Drive
Apt.907
Oakland Park, FL 33309
Phone (954) 632-9809

National Provider Directory

National Provider Directory

Locations

1800 SW 5th Pl
Ft Lauderdale, FL 33312
Phone (754) 323-2100

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1407302045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 SOUTH OAKLAND FOREST DRIVE",
            "address_2": "APT.907",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "954-632-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SW 5TH PLACE",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "754-323-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ATHLETIC  TRAINER",
        "authorized_official_telephone_number": "954-632-9809",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "FL",
            "license": "AL 638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.