Active NPI
Broward Center of Medical Excellence Inc.
- Family Medicine Physician
- Fort Lauderdale, FL
National Provider Identifier
1447734322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME13408
- Legal business name
- BROWARD CENTER OF MEDICAL EXCELLENCE INC.
- Practice address
- 103 SE 20TH St
Fort Lauderdale, FL 33316-2846 - Phone
- (954) 462-7558
- Fax
- (954) 525-5820
- NPI assigned
- Sep 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Dede
- Title
- Office Manager
- Phone
- (954) 851-3108
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME13408 | FL | Primary |
| Family Medicine Physician | 207Q00000X |
Addresses
Primary practice location
103 SE 20TH St
Fort Lauderdale, FL 33316-2846
Mailing address
103 SE 20TH St
Fort Lauderdale, FL 33316-2846
Phone (954) 462-7558
National Provider Directory
National Provider DirectoryLocations
103 SE 20th St
Ft Lauderdale, FL 33316
Phone (954) 462-7558
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Ft Lauderdale, FL
- NPI 1164513958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537228800000",
"number": "1447734322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 SE 20TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162846",
"telephone_number": "954-462-7558",
"fax_number": "954-525-5820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 SE 20TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162846",
"telephone_number": "954-462-7558",
"fax_number": "954-525-5820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROWARD CENTER OF MEDICAL EXCELLENCE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-18",
"last_updated": "2018-09-18",
"status": "A",
"authorized_official_last_name": "DEDE",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "954-851-3108"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME13408",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
}
],
"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 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.