Organization Active NPI

The Broward Heart Group PA

  • Cardiovascular Disease Physician
  • Coral Springs, FL
National Provider Identifier
1932131380
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
THE BROWARD HEART GROUP PA
Practice address
8130 Royal Palm Blvd
Suite 201
Coral Springs, FL 33065
Phone
(954) 755-2320
Fax
(954) 344-8142
NPI assigned
Jul 7, 2006
Reactivated
Aug 21, 2007
Last updated
Aug 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
Anthony Alacca, CEO
Title
Ceo
Phone
(954) 344-8598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X FL Primary

Addresses

Primary practice location

8130 Royal Palm Blvd
Suite 201
Coral Springs, FL 33065

Mailing address

9800 W Sample Rd
Suite C
Coral Springs, FL 33065
Phone (954) 344-8598

Other identifiers 1

IdentifierTypeStateIssuer
45590COtherFLBCBS FL

National Provider Directory

National Provider Directory
Tax ID family
The Broward Heart Group PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1932131380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 W SAMPLE RD",
            "address_2": "SUITE C",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33065",
            "telephone_number": "954-344-8598",
            "fax_number": "954-344-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 ROYAL PALM BLVD",
            "address_2": "SUITE 201",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33065",
            "telephone_number": "954-755-2320",
            "fax_number": "954-344-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BROWARD HEART GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-08-21",
        "deactivation_date": "2007-01-05",
        "reactivation_date": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "ALACCA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-344-8598",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "45590C",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.