Organization Active NPI

Broward Intensivist Group LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Plantation, FL
National Provider Identifier
1972930980
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
OS5264 Issued in FL
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

Updated by the provider on Oct 4, 2013

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)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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

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.

Verify at the official NPI Registry.