Organization
BROWARD MULTISPECIALTY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLE FINLEY-HAZLE (CHIEF EXECUTIVE OFFICER)
(954) 616-3627
Entity
Organization
Contact information
Practice address
1625 SE 3RD AVE, SUITE 400, FORT LAUDERDALE, FL 33316-2521
(954) 832-0058
(954) 832-0262
Mailing address
401 E LAS OLAS BLVD, SUITE 130-137, FORT LAUDERDALE, FL 33301-2210
(954) 616-3627
(954) 414-8453
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207VG0400X
Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
12/23/2008
Last updated
03/15/2010
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