South Broward Nephrology & Hypertension Associates PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME22201 Issued in FL

Legal business name

SOUTH BROWARD NEPHROLOGY & HYPERTENSION ASSOCIATES PA

Practice address

3700 Washington St
Suite 500
Hollywood, FL 33021-8256

Phone

(954) 962-0338

Fax

(954) 962-2357

NPI assigned

May 3, 2007

Last updated

Apr 10, 2008By 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

Mrs. Fran Van Gelder, ARNP

Title

Office Administrator

Phone

(954) 364-4903

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1902028434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST",
            "address_2": "SUITE 500",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218256",
            "telephone_number": "954-962-0338",
            "fax_number": "954-962-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST",
            "address_2": "SUITE 500",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218256",
            "telephone_number": "954-962-0338",
            "fax_number": "954-962-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BROWARD NEPHROLOGY & HYPERTENSION ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "VAN GELDER",
        "authorized_official_first_name": "FRAN",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "954-364-4903",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME22201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Broward Hospital District (Memorial Division of Pediatric Neurology)
• South Broward Hospital District (Memorial Division of Advanced Heart Failure)
• South Broward Imaging LLC
• South Broward MRI Center, LTD (MRI of South Broward)
• South Broward MRI, LLC (The MRI Group of Hollywood)
• South Broward Vascular Associates LLC
• South Care 4 All Inc (Southcare Behavioral Health)
• South Florida Cardiothoracic and Vascular Surgery PL
• South Florida Care Resources,Inc
• South Florida Family Medical Center, LLC.

• Nephrology Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.