South Broward Surgical Group Llc

LBN: South Broward Surgical Group Llc
South Broward Surgical Group Llc is an health care organization with primary practice located at 601 N Flamingo Rd Suite 211, Pembroke Pines FL 33028-1015. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. South Broward Surgical Group Llc can be contacted via phone (954) 447-4480, or through Sereda, Dexter C via phone (954) 447-4480.

Contact Information

Primary practice address
601 N Flamingo Rd Suite 211 Pembroke Pines FL 33028-1015
Phone: (954) 447-4480
Fax: (954) 447-5344
Website:
Map and Directions
Authorized official contact:
Name: Sereda, Dexter C Doctor of Medicine (MD)
Phone: (954) 447-4480

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1619015658
LBN Legal business name South Broward Surgical Group Llc
DBA Doing business as
Authorized official Sereda, Dexter C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Oct 15th, 2008 - about 17 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 1619015658 NPPES
Florida MEDICAID 270575300

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