LAWRENCE E BRODER M D P A NPI 1679583769

NPI Information

NPI: 1679583769
Provider Name: LAWRENCE E BRODER M D P A
Classification: Internal Medicine - 207RX0202X
Entity Type: Organization

Specialization: Medical Oncology

Address:
45 NW 8TH ST
SUITE 104
HOMESTEAD, FL
ZIP 33030
Phone: (305) 246-5500
Get Directions

LAWRENCE E BRODER M D P A is a medical oncology internal medicine in Homestead, FL. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. LAWRENCE E BRODER M D P A NPI is 1679583769. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

45 NW 8TH ST
SUITE 104
HOMESTEAD, FL
ZIP 33030-452
Phone: (305) 246-5500
Fax: (305) 246-0081

The provider's authorized official is Lawrence Broder .
The authorized official title is President and has the following contact phone number (305) 238-1212.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 10/30/2008.

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	207RX0202X	Internal Medicine	Medical Oncology	ME0027628	FLORIDA	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	D60023	MEDICARE UPIN	FLORIDA
2	55027	OTHER	FLORIDA	JMH HMO
3	370009700	MEDICAID	FLORIDA
4	210135	OTHER	FLORIDA	AMERIGROUP HMO
5	221246	OTHER	FLORIDA	AVMED HMO
6	=========	OTHER	FLORIDA	CAREPLUS HMO
7	92291	MEDICARE PIN	FLORIDA
8	=========	OTHER	FLORIDA	HUMANA HEALTH CARE
9	=========	OTHER	FLORIDA	VISTA HMO

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: 5/5/2024

NPI Synchronization or Removal

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