WZRD, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WZRD, LLC

Doing business as

WIZRAD Medical Center

Practice address

1010 Hollywood Blvd
Hollywood, FL 33019-1608

Phone

(954) 483-3381

Fax

(954) 516-0720

NPI assigned

Jan 5, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Khaled Deeb, MD, PHD, MBANPI 1073044186

Title

Owner, Authorized Official

Phone

(954) 483-3811

Specialties & licenses 6

Addresses

Other names 2

• WIZRAD Medical Center Doing business as
• WZRD, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khaled Deeb, MD, PHD, MBA

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1073044186
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680393600000",
    "number": "1962090993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6813 FINAMORE CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334678727",
            "telephone_number": "954-483-3381",
            "fax_number": "954-516-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330191608",
            "telephone_number": "954-483-3381",
            "fax_number": "954-516-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WZRD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2023-04-02",
        "certification_date": "2023-04-02",
        "status": "A",
        "authorized_official_last_name": "DEEB",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "OWNER, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "954-483-3811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD, MBA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WIZRAD Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WZRD, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kimmy-Ann Wray
• Abel Danny Wright, RBT
• Diondre S Wright
• Heather R Wright, MD
• WTN GW Courtwright
• X-Press Medical Supply, Co.
• Alana Cristina Xavier de Almeida, MD
• Xcentricare, LLC
• Xfinity Service LLC
• Y & G Enterprises,Inc

• Internal Medicine Physician in Hollywood, FL
• Providers in Hollywood, 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 Apr 2, 2023; 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.