OrganizationActive
Phoenix Clinic Inc of Broward
NPI 1811927262 · Mental Health Clinic/Center (Including Community Mental Health Center) · Miramar, FL
Provider details
- NPI number
- 1811927262
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bonnie Graham, Chief Executive Officer(305) 891-3439
- License
- 1006AD354501 (FL)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 1006AD354501 (FL)
Ambulatory Health Care Facilities
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
19 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
2212 Sw 60th Terrace
Miramar, FL 33023
Phone: (954) 491-2133
Fax: (954) 491-2344
Street-level locationGet directions
Mailing address
2212 Sw 60th Terrace
Miramar, FL 33023
Registry dates
- Enumerated
- 2006-07-03
- Last updated
- 2011-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.