Organization Active NPI

Flocoms, PLLC

Doing business as Florida Center for Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Pembroke Pines, FL
National Provider Identifier
1114291036
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN-16858 Issued in FL
Legal business name
FLOCOMS, PLLC
Doing business as
Florida Center for Oral & Maxillofacial Surgery
Practice address
17901 NW 5TH St Suite #101
Pembroke Pines, FL 33029
Phone
(954) 437-2222
Fax
(954) 437-2244
NPI assigned
Feb 24, 2012
Last updated
Sep 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alfredo E TendlerNPI 1487603635
Title
President
Phone
(954) 437-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN-16858 FL Primary

Addresses

Primary practice location

17901 NW 5TH St Suite #101
Pembroke Pines, FL 33029

Mailing address

17901 NW 5TH St Ste 101
Pembroke Pines, FL 33029-2810
Phone (954) 437-2222

Other identifiers 1

IdentifierTypeStateIssuer
1487603635OtherFLNPI

Other names 1

  • Florida Center for Oral & Maxillofacial Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120726000527 FL Part B Supplier - Clinic/Group Practice 8729244348 Receives reassigned benefits from 3 practitioners
Practice locations: Boca Raton, FL; Pembroke Pines, FL

National Provider Directory

National Provider Directory

Locations

199 W Palmetto Park Rd
Ste D
Boca Raton, FL 33432
Phone (561) 465-2059

2600 N Military Trl
Ste 350
Boca Raton, FL 33431
Phone (561) 425-2059

17901 NW 5th St
Ste 102
Pembroke Pines, FL 33029
Phone (954) 435-1270

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1114291036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17901 NW 5TH ST STE 101",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292810",
            "telephone_number": "954-437-2222",
            "fax_number": "954-437-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 NW 5TH ST SUITE #101",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33029",
            "telephone_number": "954-437-2222",
            "fax_number": "954-437-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOCOMS,  PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "TENDLER",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-437-2222"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN-16858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487603635",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Center for Oral & Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Florida Center for Oral & Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.