Broward Primary Care LLC
Internal Medicine in Pembroke Pines, FL. Organization (NPI-2).
NPI number1295069409
StatusActive
Last updated in NPPESSep 22, 2009
Details
- NPI
- 1295069409
- Entity type
- Organization (NPI-2)
- Legal business name
- Broward Primary Care LLC
- Organization subpart
- No
- Enumeration date
- Sep 22, 2009
- Last updated
- Sep 22, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
320 S Flamingo RdSuite 358
Pembroke Pines, FL 33027-1770
Phone 954-436-6660 · Fax 954-436-6655
Mailing address
320 S Flamingo RdSuite 358
Pembroke Pines, FL 33027-1770
Phone 954-436-6660 · Fax 954-436-6655
Authorized official
Mian Ahmed Hasan
Mgr
9544366660
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