OrganizationActive
Phoenix Pediatrics of Broward LLC
NPI 1619970498 · Pediatrics Physician · Ft Lauderdale, FL
Provider details
- NPI number
- 1619970498
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Kennedy, Authorized Official(207) 807-9009
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
1600 S Andrews Ave
Ft Lauderdale, FL 33316-2510
Phone: (954) 939-5000
Fax: (877) 250-6889
Street-level locationGet directions
Mailing address
Po Box 781065
Philadelphia, PA 19178-1065
Registry dates
- Enumerated
- 2005-05-24
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.