Active NPI
Carlos H Nousari PA
- Dermatology Physician
- Davie, FL
National Provider Identifier
1518388156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- CARLOS H NOUSARI PA
- Practice address
- 5200 S University Dr
Davie, FL 33328-5316 - Phone
- (754) 206-4432
- Fax
- (954) 900-2797
- NPI assigned
- Dec 28, 2013
- Last updated
- Mar 14, 2014
- 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
- Carlos H Nousari, MD
- Title
- Owner/Operator
- Phone
- (754) 206-4432
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
5200 S University Dr
Davie, FL 33328-5316
Mailing address
5200 S University Dr
Davie, FL 33328-5316
Phone (754) 206-4432
National Provider Directory
National Provider DirectoryLocations
5200 S University Dr
Davie, FL 33328
Phone (754) 206-4432
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394755200000",
"number": "1518388156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 S UNIVERSITY DR",
"city": "DAVIE",
"state": "FL",
"postal_code": "333285316",
"telephone_number": "754-206-4432",
"fax_number": "954-900-2797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 S UNIVERSITY DR",
"city": "DAVIE",
"state": "FL",
"postal_code": "333285316",
"telephone_number": "754-206-4432",
"fax_number": "954-900-2797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLOS H NOUSARI PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-28",
"last_updated": "2014-03-14",
"status": "A",
"authorized_official_last_name": "NOUSARI",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "754-206-4432",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.