Provider Demographics
NPI:1831368786
Name:THE FAMILY HEALTH CENTER OF BROWARD
Entity type:Organization
Organization Name:THE FAMILY HEALTH CENTER OF BROWARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:H
Authorized Official - Last Name:MEJIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-805-9494
Mailing Address - Street 1:5920 JOHNSON ST STE 104
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-5652
Mailing Address - Country:US
Mailing Address - Phone:954-894-6022
Mailing Address - Fax:
Practice Address - Street 1:5920 JOHNSON ST STE 104
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-5652
Practice Address - Country:US
Practice Address - Phone:954-894-6022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty