Broward Addiction Medical Center LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BROWARD ADDICTION MEDICAL CENTER LLC

Doing business as

Broward Medical Center

Practice address

3194 W Commercial Blvd
Tamarac, FL 33309-3450

Phone

(954) 507-0591

NPI assigned

Feb 21, 2018

Organization subpart

No

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

Authorized official

Name

Brent Ortner

Title

Director

Phone

(323) 608-0401

Specialties & licenses 1

Addresses

Other names 1

• Broward Medical Center Doing business as

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1730680224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3194 W COMMERCIAL BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333093450",
            "telephone_number": "954-507-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3194 W COMMERCIAL BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333093450",
            "telephone_number": "954-507-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD ADDICTION MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "ORTNER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "323-608-0401"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broward Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evelyn Bravo Gil
• Brian Scott Edwards, D.C., P.a.
• Brietstein & Strauss DPM PA
• Lauren Maciel Brito
• Stephen R. Brooks Jr., D.C.
• Broward Dental Associates (Dr Dulay & Associates)
• Broward Health Consulting PLLC
• Broward Health Medical Group
• Broward Heart Group P a
• Broward Injury Clinic LLC

• Multi-Specialty Clinic/Center in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.