Las Olas Centre For Oral & Maxillofacial Surgery

LBN: Jason E. Portnof Dmd, Md, Pa
Las Olas Centre For Oral & Maxillofacial Surgery is an health care organization with primary practice located at 100 Se 15Th Ave , Ft Lauderdale FL 33301-3985. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Jason E. Portnof Dmd, Md, Pa can be contacted via phone (954) 983-1899, or through Portnof, Jason E via phone (954) 983-1899.

Contact Information

Primary practice address
100 Se 15Th Ave Ft Lauderdale FL 33301-3985
Phone: (954) 983-1899
Fax: (954) 986-6846
Website:
Map and Directions
Authorized official contact:
Name: Portnof, Jason E DMD, MD
Phone: (954) 983-1899

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN16048 Florida

Profile Details

NPI number 1699190280
LBN Legal business name Jason E. Portnof Dmd, Md, Pa
DBA Doing business as Las Olas Centre For Oral & Maxillofacial Surgery
Authorized official Portnof, Jason E DMD, MD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2014
Last updated Jan 25th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699190280 NPPES
Florida Other HA085Z MEDICARE PTAN

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