Active NPI
Marquis MD LLC
- Primary Care Clinic/Center
- Fort Lauderdale, FL
National Provider Identifier
1992521330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.