NPIMap

Organization Active NPI

Robert B Contrucci D O P a

Doing business as Southern Ear Nose Throat and Sinus Center

  • Otolaryngology Physician
  • Pembroke Pines, FL
National Provider Identifier
1407981830
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ROBERT B CONTRUCCI D O P A
Doing business as
Southern Ear Nose Throat and Sinus Center
Practice address
10071 Pines Blvd
Suite C
Pembroke Pines, FL 33024-6181
Phone
(954) 437-5333
Fax
(954) 437-6252
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Katy Hernandez
Title
Regional Practice Manager
Phone
(855) 368-6673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

10071 Pines Blvd
Suite C
Pembroke Pines, FL 33024-6181

Mailing address

1172 S Dixie Hwy
Coral Gables, FL 33146-2918
Phone (855) 368-6673

Other practice location 1

100 NW 82nd Ave Ste 403
Plantation, FL 33324-1835
Phone (855) 368-6673

Other names 1

  • Southern Ear Nose Throat and Sinus Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051003000696 FL Part B Supplier - Clinic/Group Practice 1052346673 Receives reassigned benefits from 6 practitioners
Practice locations: Hollywood, FL; Pembroke Pines, FL; Miramar, FL

National Provider Directory

National Provider Directory

Locations

16948 NE 19th Ave
North Miami Beach, FL 33162
Phone (305) 940-1672

10071 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 437-5333

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1407981830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 S DIXIE HWY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462918",
            "telephone_number": "855-368-6673",
            "fax_number": "954-437-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10071 PINES BLVD",
            "address_2": "SUITE C",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246181",
            "telephone_number": "954-437-5333",
            "fax_number": "954-437-6252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 NW 82nd Ave Ste 403",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333241835",
            "country_code": "US",
            "telephone_number": "855-368-6673",
            "fax_number": "954-437-6252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROBERT B CONTRUCCI D O P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "REGIONAL PRACTICE MANAGER",
        "authorized_official_telephone_number": "855-368-6673"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Ear Nose Throat and Sinus Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Ear Nose Throat and Sinus Center",
            "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 Jan 13, 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.