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Southwest Broward
Oral and Maxillofacial Surgery Clinic/Center in Pembroke Pines, Florida
NPI 1053580027

Southwest Broward is a Oral and Maxillofacial Surgery Clinic/Center based in Pembroke Pines, FL and is specialized in Oral and Maxillofacial Surgery. Southwest Broward practices in Pembroke Pines, FL. The NPI Number for Southwest Broward is 1053580027 and holds a License No. 12267 (Florida).

The current practice location address for Southwest Broward is 18503 Pines Blvd, Pembroke Pines, FL and can be reached out via phone at 954-392-1851.

Location: 18503 Pines Blvd, Pembroke Pines, FL, 33029-1404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053580027
Provider Name
Southwest Broward
Credential
Provider Entity Type
Organization
Address
18503 Pines Blvd, Pembroke Pines, FL, 33029-1404
Phone Number
954-392-1851
Fax Number
Provider Enumeration Date
02/25/2008
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
18503 Pines Blvd
City
Pembroke Pines
State
Florida
Zip
33029-1404
Phone Number
954-392-1851
Fax Number
person
Provider Business Mailing Address Details
Address
18503 Pines Blvd
City
Pembroke Pines
State
Florida
Zip
33029-1404
Phone Number
954-392-1851
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
12267 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Emergency Care
Taxonomy
261QE0002X
License No.
12267 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
261QP3300X
License No.
12267 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
12267 (Florida)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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