Stefan Novac MD, P.a.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME113453 Issued in FL

Legal business name

STEFAN NOVAC MD, P.A.

Practice address

601 N Flamingo Rd Ste 406
Pembroke Pines, FL 33028-1012

Phone

(954) 666-0341

Fax

(206) 333-1938

NPI assigned

Mar 12, 2016

Organization subpart

No

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

Authorized official

Name

Stefan Novac, M.D.

Title

Director

Phone

(754) 229-9124

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1457740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1821459256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 VICTORIA POINTE CIR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333271307",
            "telephone_number": "954-666-0341",
            "fax_number": "206-333-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD STE 406",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281012",
            "telephone_number": "954-666-0341",
            "fax_number": "206-333-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEFAN NOVAC MD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-12",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "NOVAC",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "754-229-9124",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME113453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.