Active NPI
Quoc Dang DO LLC
- Surgery Physician
- Hollywood, FL
National Provider Identifier
1346736816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- OS14038
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OS14038 | Other | FL | MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.