Provider Demographics
NPI:1154858538
Name:ASSOCIATES IN FAMILY PRACTICE OF BROWARD LLC
Entity Type:Organization
Organization Name:ASSOCIATES IN FAMILY PRACTICE OF BROWARD LLC
Other - Org Name:ASSOCIATESMD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:FELIPE
Authorized Official - Last Name:LAFRATTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-279-2572
Mailing Address - Street 1:4780 SW 64TH AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-4400
Mailing Address - Country:US
Mailing Address - Phone:954-434-1705
Mailing Address - Fax:800-642-2398
Practice Address - Street 1:2004 N FLAMINGO RD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028
Practice Address - Country:US
Practice Address - Phone:954-450-8500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASSOCIATES IN FAMILY PRACTICE OF BROWARD, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-17
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care