Brody, Michael

Brody, Michael is an sole proprietor health care provider with primary practice located at 20762 W Dixie Hwy , Miami FL 33180-1146. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Brody, Michael can be contacted via phone (305) 682-0045.

Contact Information

Primary practice address
20762 W Dixie Hwy Miami FL 33180-1146
Phone: (305) 682-0045
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN0013389 Florida

Profile Details

NPI number 1528135142
LBN Legal business name Brody, Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528135142 NPPES
Florida MEDICAID 071681200

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