Broward Dental Spa

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BROWARD DENTAL SPA

Practice address

2161 E Commercial Blvd FL 1
Ft Lauderdale, FL 33308-3810

Phone

(954) 351-0406

NPI assigned

Mar 27, 2009

Organization subpart

No

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

Authorized official

Name

Miss Francis Gil

Title

President/ Office Manager

Phone

(954) 351-0406

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1881836401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 E COMMERCIAL BLVD FL 1",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083810",
            "telephone_number": "954-351-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 E COMMERCIAL BLVD FL 1",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083810",
            "telephone_number": "954-351-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD DENTAL SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "GIL",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT/ OFFICE MANAGER",
        "authorized_official_telephone_number": "954-351-0406",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Broward Dermatology
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• Broward Family Physicians Inc
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• Dentist in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.