MEDICARE: BROWARD ONCOLOGY ASSOCIATES PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	ME41162	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336299601
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROWARD ONCOLOGY ASSOCIATES PA

Provider Business Mailing Address
First Line	:	6405 N FEDERAL HWY STE 300
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-1414
Country	:	US
Telephone Number	:	954-771-0692
Fax Number	:	954-771-0760

Provider Business Practice Location Address
First Line	:	6405 N FEDERAL HWY STE 300
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-1414
Country	:	US
Telephone Number	:	954-771-0692
Fax Number	:	954-771-0760

Authorized Official
Title or Position	:	OWNER
Name	:	LUIS BARRERAS
Credential	:	M.D.
Telephone Number	:	954-771-0692

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	01/26/2010

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Directions to “BROWARD ONCOLOGY ASSOCIATES PA ” Practice Location

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