Active NPI
Lawrence E Broder M D P a
- Medical Oncology Physician
- Homestead, FL
National Provider Identifier
1679583769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- ME0027628
- Legal business name
- LAWRENCE E BRODER M D P A
- Practice address
- 45 NW 8TH St
Suite 104
Homestead, FL 33030-4452 - Phone
- (305) 246-5500
- Fax
- (305) 246-0081
- NPI assigned
- Aug 9, 2006
- 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
- Dr. Lawrence Broder
- Title
- President
- Phone
- (305) 238-1212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | ME0027628 | FL | Primary |
Addresses
Primary practice location
45 NW 8TH St
Suite 104
Homestead, FL 33030-4452
Mailing address
8740 SW 182ND Ter
Village of Palmetto Bay, FL 33157-5952
Phone (305) 238-1212
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210135 | Other | FL | AMERIGROUP HMO |
| 221246 | Other | FL | AVMED HMO |
| 370009700 | Medicaid | FL | |
| 55027 | Other | FL | JMH HMO |
National Provider Directory
National Provider DirectoryLocations
45 NW 8th St
Ste 104
Homestead, FL 33030
Phone (305) 246-5500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225324800000",
"number": "1679583769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8740 SW 182ND TER",
"city": "VILLAGE OF PALMETTO BAY",
"state": "FL",
"postal_code": "331575952",
"telephone_number": "305-238-1212",
"fax_number": "305-238-8191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 NW 8TH ST",
"address_2": "SUITE 104",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330304452",
"telephone_number": "305-246-5500",
"fax_number": "305-246-0081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE E BRODER M D P A",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"last_updated": "2008-10-30",
"status": "A",
"authorized_official_last_name": "BRODER",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-238-1212",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": "FL",
"license": "ME0027628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP HMO",
"identifier": "210135",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED HMO",
"identifier": "221246",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370009700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JMH HMO",
"identifier": "55027",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.