Organization Active NPI

Broward Center of Medical Excellence Inc.

  • Family Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1447734322
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME13408 Issued in FL
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

Updated by the provider on Sep 18, 2018

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME13408 FL Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.