Broward Outpatient Medical Center

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

BROWARD OUTPATIENT MEDICAL CENTER

Practice address

150 S Andrews Ave
Suite 201
Pompano Beach, FL 33069-3298

Phone

(954) 941-2969

Fax

(954) 960-6858

NPI assigned

Mar 27, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Stacey B Castrovinci, R.N.

Title

Director of Operations

Phone

(954) 941-2969

Specialties & licenses 7

Addresses

Other identifiers 1

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1588907695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S ANDREWS AVE",
            "address_2": "SUITE 201",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693298",
            "telephone_number": "954-941-2969",
            "fax_number": "954-960-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S ANDREWS AVE",
            "address_2": "SUITE 201",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693298",
            "telephone_number": "954-941-2969",
            "fax_number": "954-960-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD OUTPATIENT MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "CASTROVINCI",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "954-941-2969",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL LICENSE",
            "identifier": "130076931",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Broward Foot and Ankle Specialist P a
• Broward Home Health LLC (ComForcare Senior Services)
• Broward Medical Specialist Inc
• Broward Medical Specialist Inc
• Broward Nursing Care, Inc.
• Broward Outpatient Urgent Care (Broward Outpatient Primary Care Center)
• Broward Pain and Wellness Inc
• Broward Recovery Center LLC
• Darlene Brown -Ponder, REGISTERED NURSE
• Esther Risa Brown-Davis

• Medical Specialty Clinic/Center in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.