Organization Active NPI

Cardiovascular & Thoracic Surgeons of Greater Ft Lauderdale, LLP

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Ft Lauderdale, FL
National Provider Identifier
1447398284
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME0036437 Issued in FL
Legal business name
CARDIOVASCULAR & THORACIC SURGEONS OF GREATER FT LAUDERDALE, LLP
Practice address
1625 SE 3Rd Ave
Suite 601
Ft Lauderdale, FL 33316-2521
Phone
(954) 462-4413
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Imad F. Tabry, M.D.
Title
Partner
Phone
(954) 462-4413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X ME0036437 FL Primary

Addresses

Primary practice location

1625 SE 3Rd Ave
Suite 601
Ft Lauderdale, FL 33316-2521

Mailing address

1625 SE 3Rd Ave
Suite 601
Ft Lauderdale, FL 33316-2521
Phone (954) 462-4413

National Provider Directory

National Provider Directory

Locations

4725 N Federal Hwy
#503
Fort Lauderdale, FL 33308

2459 E Commercial Blvd
Ft Lauderdale, FL 33308
Phone (954) 229-2522

1625 SE 3rd Ave
Ste 601
Ft Lauderdale, FL 33316
Phone (954) 355-4617

Practitioners & affiliated clinicians

Practitioners 2

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": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447398284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 SE 3RD AVE",
            "address_2": "SUITE 601",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162521",
            "telephone_number": "954-462-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SE 3RD AVE",
            "address_2": "SUITE 601",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162521",
            "telephone_number": "954-462-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR & THORACIC SURGEONS OF GREATER FT LAUDERDALE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TABRY",
        "authorized_official_first_name": "IMAD",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "954-462-4413",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME0036437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • 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.