# BROWARD OUTPATIENT MEDICAL CENTER

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

## Provider details

- **NPI number:** 1588907695
- **Authorized official:** MRS. STACEY B CASTROVINCI R.N. (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (954) 941-2969

## Contact information

- **Practice address:** 150 S ANDREWS AVE, SUITE 201, POMPANO BEACH, FL 33069-3298
- **Practice address phone:** (954) 941-2969
- **Practice address fax:** (954) 960-6858
- **Mailing address:** 150 S ANDREWS AVE, SUITE 201, POMPANO BEACH, FL 33069-3298
- **Mailing address phone:** (954) 941-2969
- **Mailing address fax:** (954) 960-6858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/27/2013
- **Last updated:** 06/13/2016