Ap of Broward, LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

AP OF BROWARD, LLC

Practice address

3981 SW 30TH Ave
Fort Lauderdale, FL 33312-6816

Phone

(954) 292-8657

NPI assigned

Feb 18, 2015

Organization subpart

No

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

Authorized official

Name

Mr. John Tobias Gray

Title

Chief Executive Officer

Phone

(954) 292-8657

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1427449081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 WALLACE LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153232",
            "telephone_number": "954-292-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3981 SW 30TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126816",
            "telephone_number": "954-292-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AP OF BROWARD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "TOBIAS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "954-292-8657",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irina Antonova, PHARMD
• Anuj Khanna, DO. PA.
• Chisom Ihuoma Anyanwoke
• Anywhere Clinic Medical PLLC
• Alejandra Anzola
• Apalachee Digital LLC
• Yefri Alexander Aparcana Sr., PTA
• Apex Diagnostics, S. FL, LLC
• Apex Medical Centers LLC
• Apex Medical Centers LLC

• Surgical Physician Assistant in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.