Organization Active NPI

B & L Medical Management , Inc.

  • Anesthesiology Physician
  • Miramar, FL
National Provider Identifier
1649506569
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME64562 Issued in FL
Legal business name
B & L MEDICAL MANAGEMENT , INC.
Practice address
3190 S State Road 7
Suite 12-B
Miramar, FL 33023-5280
Phone
(954) 961-0511
Fax
(954) 961-0519
NPI assigned
Oct 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Authorized official

Name
Mr. Mark E Jawahir, M.D.
Title
Anesthesiologist
Phone
(954) 961-0511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X ME64562 FL Primary

Addresses

Primary practice location

3190 S State Road 7
Suite 12-B
Miramar, FL 33023-5280

Mailing address

3190 S State Road 7
Suite 12-B
Miramar, FL 33023-5280
Phone (954) 961-0511

Other identifiers 1

IdentifierTypeStateIssuer
373777200MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
B L Medical Management Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1649506569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 S STATE ROAD 7",
            "address_2": "SUITE 12-B",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330235280",
            "telephone_number": "954-961-0511",
            "fax_number": "954-961-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 S STATE ROAD 7",
            "address_2": "SUITE 12-B",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330235280",
            "telephone_number": "954-961-0511",
            "fax_number": "954-961-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & L MEDICAL MANAGEMENT , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "JAWAHIR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "954-961-0511",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME64562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373777200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.