Organization Active NPI

Quoc Dang DO LLC

  • Surgery Physician
  • Hollywood, FL
National Provider Identifier
1346736816
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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.
Title
Physician/Owner
Phone
(786) 832-4487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X OS14038 FL Primary

Addresses

Primary practice location

3475 Sheridan St Ste 201
Hollywood, FL 33021-3659

Mailing address

1521 Alton Rd Ste 729
Miami Beach, FL 33139-3301
Phone (786) 209-3451

Other identifiers 1

IdentifierTypeStateIssuer
OS14038OtherFLMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

1800 SW 27th Ave
Ste 300
Miami, FL 33145

NPI Registry JSON

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OS14038",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • 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.