Sunshine Pediatric Dentistry Pa

LBN: Sunshine Pediatric Dentistry Pa
Sunshine Pediatric Dentistry Pa is an health care organization with primary practice located at 5000 Hollywood Blvd , Hollywood FL 33021-6530. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Sunshine Pediatric Dentistry Pa can be contacted via phone (954) 989-4400, or through Brody, Michael via phone (305) 535-8001.

Contact Information

Primary practice address
5000 Hollywood Blvd Hollywood FL 33021-6530
Phone: (954) 989-4400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brody, Michael Doctor of Dental Surgery (DDS)
Phone: (305) 535-8001

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1588935365
LBN Legal business name Sunshine Pediatric Dentistry Pa
DBA Doing business as
Authorized official Brody, Michael Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2012
Last updated Dec 29th, 2014 - about 10 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 1588935365 NPPES
Florida MEDICAID 004473000

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