NSI BROWARD LLC NPI 1295203784

NPI Information

NPI: 1295203784
Provider Name: NSI BROWARD LLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 10D2241349

Address:
2853 EXECUTIVE PARK DR STE 102
WESTON, FL
ZIP 33331
Phone: (954) 659-1208
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NSI BROWARD LLC is a general practice in Weston, FL. NSI BROWARD LLC NPI is 1295203784. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2853 EXECUTIVE PARK DR STE 102
WESTON, FL
ZIP 33331-656
Phone: (954) 659-1208

The provider's authorized official is Darran Hamm .
The authorized official title is Owner and has the following contact phone number (954) 400-0479.

The CLIA number assigned to this NPI record is 10D2241349 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2018 and was last updated on 11/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	OS11815	OTHER	FLORIDA	STATE OF FLORIDA
2	PA9104903	OTHER	FLORIDA	STATE OF FLORIDA
3	CH11011	OTHER	FLORIDA	STATE OF FLORIDA
4	ME124453	OTHER	FLORIDA	STATE OF FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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