# VANGUARD MEDICAL GROUP, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346761392
- **Authorized official:** DR. MIAN HASAN MD (MD)
- **Authorized official phone:** (954) 436-6660

## Contact information

- **Practice address:** 3401 DAVIE BLVD, FORT LAUDERDALE, FL 33312-2758
- **Practice address phone:** (954) 436-6660
- **Practice address fax:** (954) 436-6655
- **Mailing address:** 603 N FLAMINGO RD STE 150, PEMBROKE PINES, FL 33028-1022
- **Mailing address phone:** (954) 436-6660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/29/2017
- **Last updated:** 06/29/2017