Healthcare Provider Details

I. General information

NPI: 1578745139
Provider Name (Legal Business Name): BROWARD FAMILY PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2007
Last Update Date: 03/31/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 W. OAKLAND BLVD. SUITE A4
FT LAUDERDALE FL
33311-3400
US

IV. Provider business mailing address

121 S ORANGE AVE SUITE 940
ORLANDO FL
32801-3221
US

V. Phone/Fax

Practice location:
  • Phone: 954-484-9590
  • Fax: 954-486-5690
Mailing address:
  • Phone: 407-658-9687
  • Fax: 407-658-9688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JORGE LUIS GARCIA
Title or Position: OWNER
Credential:
Phone: 407-658-9687