Organization Active NPI

Marquis MD LLC

  • Primary Care Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1992521330
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MARQUIS MD LLC
Practice address
110 E Broward Blvd Ste 2400
Fort Lauderdale, FL 33301-3504
Phone
(561) 323-6593
NPI assigned
Dec 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Pamela Westberg
Title
Coo
Phone
(561) 323-6593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

110 E Broward Blvd Ste 2400
Fort Lauderdale, FL 33301-3504

Mailing address

4620 N State Road 7 Ste 300
Lauderdale Lakes, FL 33319-5867
Phone (561) 323-6593

Other names 1

  • Marquis MD Doing business as

National Provider Directory

National Provider Directory

Locations

110 E Broward Blvd
Ste 2400
Ft Lauderdale, FL 33301
Phone (561) 513-2190

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1992521330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 N STATE ROAD 7 STE 300",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195867",
            "telephone_number": "561-323-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E BROWARD BLVD STE 2400",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013504",
            "telephone_number": "561-323-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUIS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "WESTBERG",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-323-6593"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marquis MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.