South Broward Surgical Group Llc in Pembroke Pines - Specialist
South Broward Surgical Group Llc - NPI 1619015658
South Broward Surgical Group Llc is a Specialist in Pembroke Pines, Florida. South Broward Surgical Group Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for South Broward Surgical Group Llc is 1619015658. The last update date is 2008-10-15.
South Broward Surgical Group Llc's current location address is Po Box 260939, Pembroke Pines, Florida. You can contact this provider via phone number 9544474480 and fax number 9544475344. The mailing address for South Broward Surgical Group Llc is Po Box 260939, Pembroke Pines, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Broward Surgical Group Llc |
|---|---|
| Address | Po Box 260939, Pembroke Pines, Florida |
| Phone Number | 9544474480 |
| Fax Number | 9544475344 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Sereda C Dexter |
| Credentials | M.D. |
| Telephone Number | 9544474480 |
NPI Number Detail
| NPI Number | 1619015658 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2008-10-15 |
Provider Mailing Address Detail
| Address | Po Box 260939 |
|---|---|
| City | Pembroke Pines |
| State | Florida (FL) |
| Post Code | 330267939 |
| Phone Number | 9544474480 |
| Fax Number | 9544475344 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 270575300 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to South Broward Surgical Group Llc by the Centers for Medicare & Medicaid Services (CMS)?
The South Broward Surgical Group Llc has been assigned the NPI (National Provider Identifier) 1619015658. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where South Broward Surgical Group Llc is physically located?
The South Broward Surgical Group Llc is physically situated at the following address: Po Box 260939, Pembroke Pines, FL, 330267939.
What is South Broward Surgical Group Llc's area of expertise and its corresponding taxonomy classification?
The South Broward Surgical Group Llc's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1619015658 assigned to South Broward Surgical Group Llc?
The South Broward Surgical Group Llc was issued its 1619015658 on 2007-02-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to South Broward Surgical Group Llc most recently updated or revised?
The details related to South Broward Surgical Group Llc, including its address, specialty, and other relevant information, were last updated or revised on 2008-10-15.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY