Active NPI
Dade Broward Urology LLC
- Urology Physician
- Aventura, FL
National Provider Identifier
1952387102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME0027164
- Legal business name
- DADE BROWARD UROLOGY LLC
- Practice address
- 21110 Biscayne Boulevard
Suite 401
Aventura, FL 33180 - Phone
- (305) 933-1772
- Fax
- (305) 933-0364
- NPI assigned
- Dec 20, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark B Weitzenfeld, MD
- Title
- Owner
- Phone
- (305) 933-1772
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME0027164 | FL | Primary |
Addresses
Primary practice location
21110 Biscayne Boulevard
Suite 401
Aventura, FL 33180
Mailing address
PO Box 172525
Hialeah, FL 33017
Phone (305) 933-1772
National Provider Directory
National Provider Directory- Tax ID family
- Dade Broward Urology
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urology Physician
- Aventura, FL
- NPI 1902926801
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Aventura, FL
- NPI 1316132137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1952387102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 172525",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33017",
"telephone_number": "305-933-1772",
"fax_number": "305-933-0364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21110 BISCAYNE BOULEVARD",
"address_2": "SUITE 401",
"city": "AVENTURA",
"state": "FL",
"postal_code": "33180",
"telephone_number": "305-933-1772",
"fax_number": "305-933-0364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DADE BROWARD UROLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WEITZENFELD",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-933-1772",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "FL",
"license": "ME0027164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.