SOUTHWEST BROWARD NPI 1053580027

NPI Information

  • NPI: 1053580027
  • Provider Name: SOUTHWEST BROWARD
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 18503 PINES BLVD
    SUITE 305
    PEMBROKE PINES, FL
    ZIP 33029
  • Phone: (954) 392-1851

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NPI Details

SOUTHWEST BROWARD is a dental clinic center in Pembroke Pines, FL. SOUTHWEST BROWARD NPI is 1053580027. The provider is registered as an organization entity type.

The provider's business location address is:

18503 PINES BLVD
SUITE 305
PEMBROKE PINES, FL
ZIP 33029-404
Phone: (954) 392-1851

The provider's authorized official is Alvaro Betancur .
The authorized official title is President and has the following contact phone number (954) 392-1851.

The enumeration date for this NPI number is 2/25/2008 and was last updated on 2/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0002XClinic/CenterEmergency Care12267FLORIDANo
2261QP3300XClinic/CenterPain12267FLORIDANo
3261QS0112XClinic/CenterOral and Maxillofacial Surgery12267FLORIDANo
4261QD0000XClinic/CenterDental12267FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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