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VANGUARD MEDICAL GROUP LLC NPI 1912202797


NPI Information

NPI: 1912202797
Provider Name: VANGUARD MEDICAL GROUP LLC

Doing Business As: BROWARD PRIMARY CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2161726

Address:
1330 RIVERLAND RD
FORT LAUDERDALE, FL
ZIP 33312
Phone: (954) 321-9826
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VANGUARD MEDICAL GROUP LLC is a family medicine in Fort Lauderdale, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. VANGUARD MEDICAL GROUP LLC NPI is 1912202797. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Broward Primary Care.

The provider's business location address is:

1330 RIVERLAND RD
FORT LAUDERDALE, FL
ZIP 33312-961
Phone: (954) 321-9826
Fax: (954) 321-9660

The provider's authorized official is Mian A Hasan .
The authorized official title is President/ceo and has the following contact phone number (954) 436-6660.

The CLIA number assigned to this NPI record is 10D2161726 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/25/2011 and was last updated on 1/25/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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

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