Healthcare Provider Details

I. General information

NPI: 1174714315
Provider Name (Legal Business Name): NRMC PHYSICIAN SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 06/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 N DIXIE HWY
OAKLAND PARK FL
33334-4148
US

IV. Provider business mailing address

5757 N DIXIE HWY
OAKLAND PARK FL
33334-4135
US

V. Phone/Fax

Practice location:
  • Phone: 954-772-6700
  • Fax:
Mailing address:
  • Phone: 954-776-6000
  • Fax: 954-493-5061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. MARSHA D. POWERS
Title or Position: SVP REGIONAL OPERATIONS, TENET
Credential:
Phone: 954-509-3671