Broughan, Thomas A.

Broughan, Thomas A. is an individual health care provider with primary practice located at 3601 Sw 160Th Ave Suite 250, Miramar FL 33027-6308. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Broughan, Thomas A. can be contacted via phone (877) 866-7123.

Contact Information

Primary practice address
3601 Sw 160Th Ave Suite 250 Miramar FL 33027-6308
Phone: (877) 866-7123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101247418 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 35065 South Carolina

Profile Details

NPI number 1831169242
LBN Legal business name Broughan, Thomas A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jun 16th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831169242 NPPES
South Carolina Other AA96791955 MEDICARE PTAN
South Carolina MEDICAID 350658 MEDICARE PTAN
South Carolina MEDICAID 100041140B MEDICARE PTAN

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