OrganizationActive
Modern Anesthesia Company LLC
NPI 1194064451 · Anesthesiology Physician · Oakland Park, FL
Provider details
- NPI number
- 1194064451
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tammy Rodriguez, Billing Manager(561) 202-0834
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 E Oakland Park Blvd
Suite 502
Oakland Park, FL 33334-2148
Phone: (561) 202-0834
Street-level locationGet directions
Mailing address
300 E Oakland Park Blvd
Oakland Park, FL 33334-2148
Other names (DBA / former)
- Doing business as
- Mac LLC
Registry dates
- Enumerated
- 2013-02-06
- Last updated
- 2013-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.