Southwest Broward in Pembroke Pines - Oral And Maxillofacial Surgery

Southwest Broward - NPI 1053580027

Southwest Broward is a Oral And Maxillofacial Surgery in Pembroke Pines, Florida. Southwest Broward practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Southwest Broward is 1053580027. The last update date is 2008-02-25.

Southwest Broward's current location address is 18503 Pines Blvd, Pembroke Pines, Florida. You can contact this provider via phone number 9543921851. The mailing address for Southwest Broward is 18503 Pines Blvd, Pembroke Pines, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southwest Broward
Address 18503 Pines Blvd, Pembroke Pines, Florida
Phone Number 9543921851
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Betancur Alvaro
Telephone Number 9543921851

NPI Number Detail

NPI Number 1053580027
Provider Enumeration Date 2008-02-25
Last Updated Date 2008-02-25

Provider Mailing Address Detail

Address 18503 Pines Blvd
City Pembroke Pines
State Florida (FL)
Post Code 330291404
Phone Number 9543921851
Fax Number

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 261Qs0112X
Licence No 12267
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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FAQs about Southwest Broward

What is the unique 10-digit identification code assigned to Southwest Broward by the Centers for Medicare & Medicaid Services?

The Southwest Broward has been issued the NPI (National Provider Identifier) 1053580027, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Southwest Broward is physically located?

The Southwest Broward is physically situated at the following address: 18503 Pines Blvd, Pembroke Pines, FL, 330291404.

What is the Southwest Broward's specialty and taxonomy code?

The Southwest Broward's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 261Qs0112X.

When did the Southwest Broward receive its 1053580027?

The Southwest Broward was issued its 1053580027 on 2008-02-25, which is the date when the organization was assigned this unique identifier.

When was the information related to Southwest Broward most recently updated or refreshed?

The details pertaining to the Southwest Broward, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-25.

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