MEDICARE: BROWARD FAMILY PHYSICIANS INC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1578745139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROWARD FAMILY PHYSICIANS INC

Provider Business Mailing Address
First Line	:	121 S ORANGE AVE
Second Line	:	SUITE 940
City	:	ORLANDO
State	:	FL
Zip	:	32801-3221
Country	:	US
Telephone Number	:	407-658-9687
Fax Number	:	407-658-9688

Provider Business Practice Location Address
First Line	:	2901 W. OAKLAND BLVD.
Second Line	:	SUITE A4
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33311-3400
Country	:	US
Telephone Number	:	954-484-9590
Fax Number	:	954-486-5690

Authorized Official
Title or Position	:	OWNER
Name	:	JORGE LUIS GARCIA
Credential	:
Telephone Number	:	407-658-9687

Provider Enumeration Date	:	12/05/2007
Last Update Date	:	03/31/2010

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