Costco Wholesale Corporation

Specialty details in registry · Davie, FL

Call (954) 236-7837 Directions

At a glance

1890 S University Dr, Davie, FL 33324

NPPES record updated May 21, 2025. Public records can lag behind changes at a practice.

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Are you accepting new patients?
Do you accept my specific insurance plan?
Do you provide the service I need at this address?
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Insurance participation and appointment availability are not established by these public records.

Practice location

1890 S University Dr
Davie, FL 33324

Professional details: NPI, taxonomy & registry record

NPI1275643884

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 3336C0003X
Enumeration date: Aug 30, 2006
Record updated: May 21, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

3336C0003X · Primary

License reported: PH11692 FL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1890 S University Dr
Davie, FL 33324

Phone: (954) 236-7837
Fax: (954) 236-7846

Mailing address

PO BOX 34300

SEATTLE, WA 981241300

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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