Broward Family Medical Group LLC
Family Medicine in Pompano Beach, FL. Organization (NPI-2).
NPI number1992984652
StatusActive
Last updated in NPPESMar 5, 2008
Details
- NPI
- 1992984652
- Entity type
- Organization (NPI-2)
- Legal business name
- Broward Family Medical Group LLC
- Organization subpart
- No
- Enumeration date
- Oct 30, 2007
- Last updated
- Mar 5, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
2701 Ne 14th Street CswySuite 5
Pompano Beach, FL 33062-3535
Phone 954-545-1560 · Fax 954-545-1560
Mailing address
2701 Ne 14th Street CswySuite 5
Pompano Beach, FL 33062-3535
Phone 954-545-1560 · Fax 954-545-1560
Authorized official
Glen A Waskin
Owner
9545451560
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