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WILSON DUMORNAY M D P A NPI 1760646046


NPI Information

NPI: 1760646046
Provider Name: WILSON DUMORNAY M D P A

Doing Business As: BROWARD ENT SERVICES

Classification: Otolaryngology - 207YS0123X
Entity Type: Organization

Specialization: Facial Plastic Surgery

CLIA Number: 10D2145095

Address:
4101 S HOSPITAL DR
SUITE 14
PLANTATION, FL
ZIP 33317
Phone: (954) 368-3348
Get Directions

WILSON DUMORNAY M D P A is a facial plastic surgery otolaryngology in Plantation, FL. The provider is an otolaryngologist who specializes in facial plastic surgery. WILSON DUMORNAY M D P A NPI is 1760646046. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Broward Ent Services.

The provider's business location address is:

4101 S HOSPITAL DR
SUITE 14
PLANTATION, FL
ZIP 33317-857
Phone: (954) 368-3348
Fax: (954) 900-4720

The provider's authorized official is Wilson Dumornay .
The authorized official title is Owner and has the following contact phone number (954) 368-3348.

The CLIA number assigned to this NPI record is 10D2145095 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2008 and was last updated on 7/21/2015.


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
1207YS0123XOtolaryngologyFacial Plastic SurgeryME 96799FLORIDAYes

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: 5/5/2024

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