Organization Active NPI

Carlos H Nousari PA

  • Dermatology Physician
  • Davie, FL
National Provider Identifier
1518388156
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.