VANGUARD MEDICAL GROUP LLC (NPI# 1912202797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912202797 |
| Entity Type | Organization |
| Organization Name | VANGUARD MEDICAL GROUP LLC |
| Other Organization Name | BROWARD PRIMARY CARE |
| Practice Address |
1330 Riverland Rd Fort Lauderdale FL 33312-2961 |
| Practice Telephone | 9543219826 |
| Practice Fax Number | 9543219660 |
| Mailing Telephone | 9543219826 |
| Mailing Fax Number | 9543219660 |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |
| Authorized Official Name | DR. MIAN A HASAN (PRESIDENT/CEO) |
| Authorized Official Telephone | 9544366660 |
| Authorized Official Credential | MD,FACCC,FACP,FS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Broward Primary Care | Doing Business As Name - Organization |
| Street Address |
1330 RIVERLAND RD |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33312-2961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376658294 | Broward Medical Center of Davie Inc | Family Medicine | 1330 Riverland Rd, Fort Lauderdale, FL 33312-2961 | 2006-08-20 |
| 1265633903 | Angela Maria Rodriguez | Family Medicine | 1330 Riverland Rd, Fort Lauderdale, FL 33312-2961 | 2007-05-30 |
| 1912012816 | Jennifer Ridenoure | Physician Assistant | 1330 Riverland Rd, Fort Lauderdale, FL 33312-2961 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112965 | Krista Moreno | Marriage & Family Therapist | 2699 Stirling Road Building C Suite 403e, Fort Lauderdale, FL 33312 | 2020-01-03 |
| 1700428026 | Caring Village of Lauderdale LLC | Assisted Living Facility | 408-412 Sw 7th Ave, Fort Lauderdale, FL 33312 | 2019-10-09 |
| 1548742356 | Inspire Acupuncture | Acupuncturist | 1000 Riverside Drive, Fort Lauderdale, FL 33312 | 2018-08-29 |
| 1447762919 | Daniel Desta Bekele | General Practice | 1001 W Las Olas Blvd Apt 4, Fort Lauderdale, FL 33312 | 2017-10-24 |
| 1649798653 | Angel Luis Perez | Nurse Practitioner | 3041 Sw 47 Street, Fort Lauderdale, FL 33312 | 2017-08-30 |
| 1902322738 | Ashley Ingrid Rini | Dentist | 1620 Sw 33rd Ave, Fort Lauderdale, FL 33312 | 2017-08-14 |
| 1548794993 | Elise Cruz | Nurse Practitioner | 3301 Sw 16th Street, Fort Lauderdale, FL 33312 | 2017-04-12 |
| 1619415924 | Antoinette Battle | Nurse Practitioner | 3470 Sw 19th Street, Fort Lauderdale, FL 33312 | 2017-02-07 |
| 1902344252 | Melissa Miller | Counselor | 2962 Southwest 26th Terrace, 204, Fort Lauderale, FL 33312 | 2017-02-07 |
| 1164975934 | Brandon Nieves Stella | Technician, Other | 620 Sw 14th Ter, Fort Lauderdale, FL 33312 | 2016-07-28 |
| Find all providers in zip 33312 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235772542 | Chelsea Michaels | Family Medicine | 633 Ne 11th Ave, Fort Lauderdale, FL 33304-4692 | 2019-10-21 |
| 1174090245 | Jmr Medical Services Inc | Family Medicine | 2501 E Commercial Blvd Ste 212, Fort Lauderdale, FL 33308-4127 | 2018-10-26 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1396269007 | Vip Physicians Consulting LLC | Family Medicine | 500 Se 17th St Ste 301, Fort Lauderdale, FL 33316-2547 | 2017-08-03 |
| 1144593302 | Norman Pollock | Family Medicine | 3072 Ne 49th St, Fort Lauderdale, FL 33308-4915 | 2012-02-20 |
| 1558644690 | North Broward Hospital District | Family Medicine | 6333 N Federal Hwy Ste 225, Fort Lauderdale, FL 33308-1913 | 2011-09-26 |
| 1154613859 | Vi Song Tring | Family Medicine | 1339 Sw 3rd Ct, Fort Lauderdale, FL 33312 | 2011-05-12 |
| 1447567854 | Partners In Healthcare | Family Medicine | 1806 Nw 19th St, Fort Lauderdale, FL 33311-3535 | 2010-09-07 |
| 1124355250 | David Michael Paul | Family Medicine | 2020 Ne 48th Ct, Fort Lauderdale, FL 33308-4522 | 2009-11-10 |
| 1205160215 | Richard Allen Hill | Family Medicine | 1318 Se 17th St, Fort Lauderdale, FL 33316-1708 | 2009-09-23 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33312 |
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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.