Organization · Type 2 NPI

South Broward Surgical Group LLC

Specialist · Pembroke Pines, FL

NPI number 1619015658 Active

Practice location

601 N Flamingo Rd, Suite 211
Pembroke Pines, FL 33028-1015

Fax (954) 447-5344

Mailing address

PO Box 260939
Pembroke Pines, FL 33026-7939

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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.

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About NPI 1619015658

South Broward Surgical Group LLC's National Provider Identifier is 1619015658, issued on Feb 2, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Pembroke Pines, FL. The record was last updated on Oct 15, 2008.