Broward Medical and Wellness

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

PA9104589 Issued in FL

Legal business name

BROWARD MEDICAL AND WELLNESS

Practice address

2250 Palm Beach Lakes Blvd
Suite 106
West Palm Beach, FL 33409-3407

Phone

(561) 939-2710

NPI assigned

Aug 12, 2016

Organization subpart

No

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

Authorized official

Name

Aneta Dadashev, PA

Title

Owner

Phone

(305) 904-6310

Specialties & licenses 1

Addresses

Other names 1

• Palm beach Medical Center Doing business as

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1811441306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 106",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093407",
            "telephone_number": "561-939-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 106",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093407",
            "telephone_number": "561-939-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD MEDICAL AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "DADASHEV",
        "authorized_official_first_name": "ANETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-904-6310",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "PA9104589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm beach Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Darleen Brooks
• Vikke Rochell Brooks
• Erin L Brophy
• Erin Brosnan, M.S., CCC-SLP
• Paula Brothers
• Monique D Brown Faust, PHD LMHC MCAP
• Deidra A. Brown-Brinson, APRN
• Dana Ayscue Brown, PHARM.D.
• Davisha L Brown
• Dudley Brown, M.D.

• Clinic/Center in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.