Broward Oral Surgery PA
NPI #1568095255 in Pembroke Pines, Florida
Provider Information
- NPI Number
- 1568095255
- Entity Type
- Organization
- Organization Name
- Broward Oral Surgery PA
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- Feb 20, 2020
- Last Updated
- Feb 20, 2020
Practice Location
- Address
- 3157 N UNIVERSITY DR STE 104
- City
- Pembroke Pines
- State
- Florida
- ZIP Code
- 33024-2258
- Phone
- (954) 431-1600
Authorized Official
- Name
- DR. LAITH AZZOUNI
- Title
- OWNER
- Phone
- (954) 431-1600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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