West Broward Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME67283 Issued in FL

Legal business name

WEST BROWARD INTERNAL MEDICINE LLC

Practice address

6451 W Commercial Blvd
Tamarac, FL 33319-2110

Phone

(954) 720-1414

Fax

(954) 720-4727

NPI assigned

Apr 1, 2008

Last updated

Jul 31, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shahrad Mabourakh, M.D.NPI 1053388090

Title

Physician

Phone

(954) 720-1414

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GEDBCA

Practitioners 7

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.

• Shahrad Mabourakh, MD

  • Internal Medicine Physician
  • Tamarac, FL
  • NPI 1053388090
  Medicare reassignment Care Compare group NPD Authorized official
• Davita Mabourakh Hodges, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Tamarac, FL
  • NPI 1639675937
  Medicare reassignment Care Compare group NPD
• Patricia C Perez, ARNP

  • Nurse Practitioner
  • Tamarac, FL
  • NPI 1033185616
  Medicare reassignment Care Compare group NPD
• Gudelia Torres, APRN

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1962827287
  Medicare reassignment Care Compare group NPD
• Matthew Jay Wolland, NP-C

  • Family Nurse Practitioner
  • Plantation, FL
  • NPI 1699177717
  Medicare reassignment Care Compare group NPD
• Michelle Weiss, MD

  • Emergency Medicine Physician
  • Lauderdale Lakes, FL
  • NPI 1942274634
  NPD
• George Waked, MD

  • Internal Medicine Physician
  • Tamarac, FL
  • NPI 1407960198
  NPD (past)

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1871765727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 W COMMERCIAL BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192110",
            "telephone_number": "954-720-1414",
            "fax_number": "954-720-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 W COMMERCIAL BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192110",
            "telephone_number": "954-720-1414",
            "fax_number": "954-720-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BROWARD INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "MABOURAKH",
        "authorized_official_first_name": "SHAHRAD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "954-720-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME67283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Weissman
• Wellness Health Services of America LLC
• Wendy N Carbone OD PA
• Barry Michael Werner, M.D.
• West Broward Eyecare Associates Inc
• West Broward Rheumatology Associates, Inc
• West Broward Wellness Center, Inc
• Laura Ilona White, DPM
• Wickshire Tamarac Opco LLC (Wickshire Tamarac)
• Teresha Amazing Williams Harper, LMHC

• Internal Medicine Physician in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.