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Specialty details in registry · Plantation, FL

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At a glance

8751 W Broward Blvd Ste 307, Plantation, FL 33324-2632

NPPES record updated Apr 28, 2025. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

8751 W Broward Blvd Ste 307
Plantation, FL 33324-2632

Additional reported practice locations

1000 Se Monterey Commons Blvd Ste 204
Stuart, FL 349963327
Phone: 9547069208
Professional details: NPI, taxonomy & registry record
NPI1629789375
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
253Z00000X
Enumeration date
Dec 13, 2022
Record updated
Apr 28, 2025
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

253Z00000X · Primary

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

Practice location

8751 W Broward Blvd Ste 307
Plantation, FL 33324-2632
Phone
(954) 357-2048
Fax
(954) 526-5101
Mailing address
8751 W BROWARD BLVD STE 307

PLANTATION, FL 333242632
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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