Provider Demographics
NPI:1710680681
Name:CAREMAX MEDICAL CENTER OF BROWARD LLC
Entity Type:Organization
Organization Name:CAREMAX MEDICAL CENTER OF BROWARD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:DE VERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-360-4768
Mailing Address - Street 1:3401 DEER CREEK COUNTRY CLUB BLVD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-8427
Mailing Address - Country:US
Mailing Address - Phone:754-333-4029
Mailing Address - Fax:754-333-4034
Practice Address - Street 1:3401 DEER CREEK COUNTRY CLUB BLVD
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-8427
Practice Address - Country:US
Practice Address - Phone:754-333-4029
Practice Address - Fax:754-333-4034
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAREMAX MEDICAL CENTER OF BROWARD LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center