National Provider Identifier Database

SOUTHWEST BROWARD
Dental


Contact Information

SOUTHWEST BROWARD
18503 PINES BLVD
SUITE 305
PEMBROKE PINES, FL33029-1404
Phone: 954-392-1851
Fax:
Website:
Specialty Taxonomy Code
* Dental 261QD0000X
Emergency Care 261QE0002X
Oral and Maxillofacial Surgery 261QS0112X
Pain 261QP3300X

* Indicates primary specialty

NPI Profile & details for SOUTHWEST BROWARD

NPI Number 1053580027
Legal business name
LBN
SOUTHWEST BROWARD
Authorized official ALVARO BETANCUR - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/25/2008
Last updated 02/25/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: 12267

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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