PHYSICIAN ASSOCIATES OF BROWARD INC (NPI# 1366723777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366723777 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN ASSOCIATES OF BROWARD INC |
| Practice Address |
9900 Stirling Rd Suite 102 Hollywood FL 33024-8065 |
| Practice Telephone | 9543223603 |
| Practice Fax Number | 9543225303 |
| Mailing Telephone | 9543223603 |
| Mailing Fax Number | 9543225303 |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2016-09-09 |
| Authorized Official Name | DR. SALVADOR ENRIQUE MORA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9543223603 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 42635 | 01 |
| Street Address |
9900 STIRLING RD SUITE 102 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33024-8065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689613986 | Richard M Rosen | Family Medicine | 9900 Stirling Rd, Suite 102, Hollywood, FL 33024-8065 | 2006-06-05 |
| 1922241868 | Assessment Counseling and Testing, Inc. | Psychologist | 9900 Stirling Rd, Suite 233, Hollywood, FL 33024-8065 | 2009-04-08 |
| 1851551154 | Kenneth M Gelman Md Pa | Specialist | 9900 Stirling Rd, Suite 300, Hollywood, FL 33024-8065 | 2008-06-11 |
| 1700067592 | Helen V Rymaszewski | Social Worker | 9900 Stirling Rd, Suite 213, Hollywood, FL 33024-8065 | 2007-11-20 |
| 1629133095 | Karen Kriger | Social Worker | 9900 Stirling Rd, Suite 210, Hollywood, FL 33024-8065 | 2006-12-26 |
| 1902909211 | Kenneth M Gelman | Specialist | 9900 Stirling Rd, Suite 300, Hollywood, FL 33024-8065 | 2006-09-06 |
| 1114037512 | Medco Services, Inc. | Durable Medical Equipment & Medical Supplies | 9900 Stirling Rd, 201, Hollywood, FL 33024-8065 | 2006-08-30 |
| 1245252378 | Lori A Ben-ezra | Psychologist | 9900 Stirling Rd, Suite 217, Hollywood, FL 33024-8065 | 2006-07-25 |
| 1588686174 | Dr Helen Rymaszewski Pa | Social Worker | 9900 Stirling Rd, Suite 213, Hollywood, FL 33024-8065 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730628066 | Momentum Health, LLC | Clinic/Center | 6400 Fletcher St, Hollywood, FL 33023-2130 | 2017-02-20 |
| 1811352420 | Donald Dixon Md Pa. | Clinic/Center | 7261 Sheridan St Ste 100, Hollywood, FL 33024-2708 | 2015-12-24 |
| 1861740946 | Maha Medical Group Inc | Clinic/Center | 3939 Hollywood Blvd, Suite 2-b, Hollywood, FL 33021-6749 | 2012-08-21 |
| 1104189091 | Hollywood Medical Care Inc | Clinic/Center | 795 S Federal Hwy, Hollywood, FL 33020-5401 | 2012-06-17 |
| 1841558202 | Gilbert Medical Group Inc | Clinic/Center | 4430 Sheridan St, Suite A, Hollywood, FL 33021-3546 | 2012-04-23 |
| 1518248418 | Benjamin Outreach Medical Network Corporation | Clinic/Center | 2843 Pembroke Rd, Hollywood, FL 33020-5649 | 2011-09-06 |
| 1437440237 | Broward Physicians Group of Florida, LLC | Clinic/Center | 2303 Hollywood Blvd, Hollywood, FL 33020-6711 | 2011-04-27 |
| 1932405230 | Miguel E Gonzalez Md Pa | Clinic/Center | 6720 Taft St, Hollywood, FL 33024-3903 | 2011-02-03 |
| 1093025231 | Van Buren Medical Center, Inc. | Clinic/Center | 2600 Van Buren St, Hollywood, FL 33020-4818 | 2010-10-20 |
| 1184931339 | Comprehensive Health & Wellness Center, P.a. | Clinic/Center | 4040 Sheridan St, Hollywood, FL 33021-3536 | 2010-09-09 |
| Find all providers in HOLLYWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.