Broward Oncology and Sickle Cell Center

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

ME97695 Issued in FL

Legal business name

BROWARD ONCOLOGY AND SICKLE CELL CENTER

Practice address

1330 SE 4TH Ave Ste J
Ft Lauderdale, FL 33316-1958

Phone

(954) 623-7299

Fax

(954) 525-3033

NPI assigned

Dec 4, 2017

Organization subpart

No

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

Authorized official

Name

Archana Maini, M.D.NPI 1942211370

Title

President/Physician

Phone

(954) 623-7299

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Archana Maini, M.D.

  • Hematology & Oncology Physician
  • Fort Lauderdale, FL
  • NPI 1942211370
  Medicare reassignment NPD Authorized official
• Esther Oyetunji

  • Family Nurse Practitioner
  • Miramar, FL
  • NPI 1467965640
  Medicare reassignment NPD
• Tolulope Suleiman

  • Family Nurse Practitioner
  • Pembroke Pines, FL
  • NPI 1104399864
  Medicare reassignment NPD
• Jacquelyn Mann, PA-C

  • Medical Physician Assistant
  • Coral Springs, FL
  • NPI 1235529314
  Medicare reassignment

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1760997571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5324 SW 34TH WAY",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125545",
            "telephone_number": "954-623-7299",
            "fax_number": "954-525-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SE 4TH AVE STE J",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161958",
            "telephone_number": "954-623-7299",
            "fax_number": "954-525-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD ONCOLOGY AND SICKLE CELL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MAINI",
        "authorized_official_first_name": "ARCHANA",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "954-623-7299",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME97695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277439900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Broward Medical Care Associates Inc
• Broward Medical Center of Davie Inc
• Broward Medical Group LLC
• Broward Multispecialty Group LLC
• Broward Nursing & Rehabilitation Center,LLC
• Broward Oncology Associates PA
• Broward Orthopedics LLC
• Broward Pace Program LLC
• Broward Partnership for the Homeless, Inc.
• Broward Partnerships

• Hematology & Oncology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Hematology & Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.