Quoc Dang DO LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

OS14038 Issued in FL

Legal business name

QUOC DANG DO LLC

Practice address

3475 Sheridan St Ste 201
Hollywood, FL 33021-3659

Phone

(786) 209-3451

Fax

(786) 431-2509

NPI assigned

Jul 7, 2018

Last updated

Apr 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Quoc Bao Nhu Dang, D.O.NPI 1881932895

Title

Physician/Owner

Phone

(786) 832-4487

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Quoc Bao Nhu Dang, D.O.

  • Surgery Physician
  • Hollywood, FL
  • NPI 1881932895
  Authorized official Same address or phone

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

{
    "created_epoch": "1530921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1346736816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 ALTON RD STE 729",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393301",
            "telephone_number": "786-209-3451",
            "fax_number": "786-431-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 SHERIDAN ST STE 201",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213659",
            "telephone_number": "786-209-3451",
            "fax_number": "786-431-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUOC DANG DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-07",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "QUOC BAO",
        "authorized_official_middle_name": "NHU",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "786-832-4487",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS14038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.