Wilson Dumornay M D P a

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

ME 96799 Issued in FL

Legal business name

WILSON DUMORNAY M D P A

Doing business as

Broward ENT Services

Practice address

4101 S Hospital Dr
Suite 14
Plantation, FL 33317-2857

Phone

(954) 368-3348

Fax

(954) 900-4720

NPI assigned

Jul 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Wilson Dumornay, M.D.

Title

Owner

Phone

(954) 368-3348

Specialties & licenses 1

Addresses

Other names 1

• Broward ENT Services Doing business as

Locations

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1760646046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 S HOSPITAL DR",
            "address_2": "SUITE 14",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172857",
            "telephone_number": "954-368-3348",
            "fax_number": "954-900-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 S HOSPITAL DR",
            "address_2": "SUITE 14",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172857",
            "telephone_number": "954-368-3348",
            "fax_number": "954-900-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON DUMORNAY M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "DUMORNAY",
        "authorized_official_first_name": "WILSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-368-3348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "FL",
            "license": "ME 96799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broward ENT Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Williams
• Ted Allen Williams, PSY.D.
• Zita Williams, PHD
• Alana Beth Willis, PA-C
• Willow Pediatric Special Care Inc
• Yaneque Wilson-Kennedy, APRN
• Carolyn Freeman Wilson, LCSW
• Drina Wilson
• Hobson Irving Wilson, REGISTERED MHC INTER
• Jenna Wilson, PHD, LMFT

• Facial Plastic Surgery Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Facial Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.