Palm Vascular Center of Broward, LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

PALM VASCULAR CENTER OF BROWARD, LLC

Practice address

3109 Stirling Rd
Suite 100
Fort Lauderdale, FL 33312-6558

Phone

(914) 720-3686

NPI assigned

Aug 26, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Eric Rogers

Title

Ceo

Phone

(914) 720-3686

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Networks

• HealthSun Health Plans Network

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert E Beasley, MD

  • Vascular & Interventional Radiology Physician
  • Miami, FL
  • NPI 1740289016
  Medicare reassignment Care Compare group NPD
• Jonathan Joaquin Iglesias, M.D.

  • Vascular & Interventional Radiology Physician
  • Miami, FL
  • NPI 1235517558
  Medicare reassignment Care Compare group NPD
• Michael A Rogoff, M.D.

  • Vascular & Interventional Radiology Physician
  • Miami Beach, FL
  • NPI 1104803436
  Medicare reassignment Care Compare group NPD
• Peter N Swischuk, M.D.

  • Diagnostic Radiology Physician
  • North Miami Beach, FL
  • NPI 1053585380
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1588098669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 STIRLING RD",
            "address_2": "SUITE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 STIRLING RD",
            "address_2": "SUITE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126558",
            "telephone_number": "914-720-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM VASCULAR CENTER OF BROWARD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-720-3686",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palliative Care Associates LLC
• Palliative Medical Specialties LLC
• Palm Beach Recovery Center, LLC
• Palm Coast Health Care Inc
• Palm Radiation Therapy Services PL
• Candidio Roberto Palma, M,D.
• Palmcoast Therapy, Inc.
• Palmer Surgicenter
• Anthony Dale Palmer, MOT
• Bret L Palmer, M.D.

• Vascular & Interventional Radiology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Vascular & Interventional Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.