# AP OF BROWARD, LLC

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

## Provider details

- **NPI number:** 1427449081
- **Authorized official:** MR. JOHN TOBIAS GRAY (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (954) 292-8657

## Contact information

- **Practice address:** 3981 SW 30TH AVE, FORT LAUDERDALE, FL 33312-6816
- **Practice address phone:** (954) 292-8657
- **Mailing address:** 4220 WALLACE LN, NASHVILLE, TN 37215-3232
- **Mailing address phone:** (954) 292-8657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/18/2015
- **Last updated:** 02/18/2015