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Contact Information

SOUTHWEST BROWARD
18503 PINES BLVD
SUITE 305
PEMBROKE PINES, FL33029-1404
 Phone: 954-392-1851
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental

261QD0000X
 

Emergency Care

261QE0002X
 

Oral and Maxillofacial Surgery

261QS0112X
 

Pain

261QP3300X
Indicates primary specialty

NPI Profile & details for SOUTHWEST BROWARD

NPI Number 1053580027
LBN Legal business name SOUTHWEST BROWARD
Authorized official ALVARO BETANCUR - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/25/2008
Last updated 02/25/2008 - About 18 years ago
Identifiers
FL License # 12267
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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