Organization Active NPI

Vascular Specialists of Broward

  • Vascular & Interventional Radiology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1710321781
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME31942 Issued in FL
Legal business name
VASCULAR SPECIALISTS OF BROWARD
Practice address
1880 E Commercial Blvd
Suite 6
Ft Lauderdale, FL 33308-3747
Phone
(954) 771-8495
Fax
(954) 771-8497
NPI assigned
Apr 22, 2013
Last updated
Apr 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Brock Lovelace
Title
Manager
Phone
(813) 220-5535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X ME31942 FL Primary

Addresses

Primary practice location

1880 E Commercial Blvd
Suite 6
Ft Lauderdale, FL 33308-3747

Mailing address

1880 E Commercial Blvd
Suite 6
Ft Lauderdale, FL 33308-3747
Phone (954) 771-8495

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1710321781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 E COMMERCIAL BLVD",
            "address_2": "SUITE 6",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083747",
            "telephone_number": "954-771-8495",
            "fax_number": "954-771-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 E COMMERCIAL BLVD",
            "address_2": "SUITE 6",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083747",
            "telephone_number": "954-771-8495",
            "fax_number": "954-771-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR SPECIALISTS OF BROWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "LOVELACE",
        "authorized_official_first_name": "BROCK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-220-5535"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME31942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.