Active NPI
Broward Intensivist Group LLC
- Critical Care Medicine (Internal Medicine) Physician
- Plantation, FL
National Provider Identifier
1972930980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- OS5264
- Legal business name
- BROWARD INTENSIVIST GROUP LLC
- Practice address
- 9633 W Broward Blvd
Suite 6
Plantation, FL 33324-2332 - Phone
- (954) 835-0005
- Fax
- (954) 472-8271
- NPI assigned
- Oct 4, 2013
- 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
- Dr. Michael A Flicker, DO
- Title
- Owner
- Phone
- (954) 835-0005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | OS5264 | FL | Primary |
Addresses
Primary practice location
9633 W Broward Blvd
Suite 6
Plantation, FL 33324-2332
Mailing address
9633 W Broward Blvd
Suite 6
Plantation, FL 33324-2332
Phone (954) 835-0005
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380844800000",
"number": "1972930980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9633 W BROWARD BLVD",
"address_2": "SUITE 6",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242332",
"telephone_number": "954-835-0005",
"fax_number": "954-472-8271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9633 W BROWARD BLVD",
"address_2": "SUITE 6",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242332",
"telephone_number": "954-835-0005",
"fax_number": "954-472-8271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROWARD INTENSIVIST GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-04",
"last_updated": "2013-10-04",
"status": "A",
"authorized_official_last_name": "FLICKER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-835-0005",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "OS5264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
- Broward Endocrine Institute PLLC
- Broward ENT and Allergy, P.a.
- Broward Family Acupuncture
- Broward Geriatric and Palliative Care Consultants, Inc.
- Broward Institute of Cardiology, Inc
- Broward Mall Dental, PA
- Broward Medical Associates of South Florida,Inc
- Broward Neurosurgeons LLC
- Broward Primary Care Clinics Inc
- Broward Therapists, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.