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CUSTOM CROWNS
NPI 1538813910
Technician, Pathology - Medical Laboratory in Davie, FL

Active since February 04, 2022
5400 S UNIVERSITY DR, DAVIE, FL 33328(954) 947-0641 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Custom Crowns NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CUSTOM CROWNS (NPI 1538813910) is a healthcare organization registered as a medical laboratory in Davie, Florida and active in the NPI registry since February 2022. The organization lists Tyshawn Martin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1538813910
Entity TypeOrganization
Primary Taxonomy246RM2200X
Legal Business NameCUSTOM CROWNS
Location Address5400 S UNIVERSITY DRDavie, FL 33328-5312
Mailing Address5202 Plunkett StHollywood, FL 33021-8023 · (305) 788-7779
Phone(954) 947-0641
Organization SubpartNo
Authorized OfficialTyshawn MartinCeo · (305) 788-7779
Enumeration DateFebruary 4, 2022
NPPES CertifiedFebruary 4, 2022
✔ NPI 1538813910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyTechnician, Pathology · Medical LaboratoryTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RM2200X
Also ListedPediatrics · Developmental - Behavioral PediatricsTaxonomy 2080P0006X
Also ListedPathology · Clinical Laboratory Director, Non-physicianTaxonomy 247ZC0005X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
5400 S UNIVERSITY DR, Davie, FL 33328
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REPUTABLE HEALTH CARE INC.
Home Health
5400 S UNIVERSITY DR, SUITE 206A
DAVIE, FL 33328
Broward County (954) 434-6288
GINA V EATON LCSW PA
Social Worker (Clinical)
5400 S UNIVERSITY DR, SUITE #207
DAVIE, FL 33328
Broward County (954) 370-3335
DR. NATHALY SHOUA DESMARAIS PSY.D.
Psychologist
5400 S UNIVERSITY DR, SUITE 119
DAVIE, FL 33328
Broward County (954) 600-9190
JCR MEDICAL COORDINATION, INC.
Clinic/Center (Rehabilitation)
5400 S UNIVERSITY DR, BLD. J401
DAVIE, FL 33328
Broward County (954) 835-5543
JCR MEDICAL COORDINATION, INC
Chiropractor (Orthopedic)
5400 S UNIVERSITY DR, SUITE 401-410
DAVIE, FL 33328
Broward County (954) 835-5543
EDUARDO LOPEZ
Behavior Analyst
5400 S UNIVERSITY DR, SUITE 401
DAVIE, FL 33328
Broward County (754) 223-5286
MONICA PAOLA GUTIERREZ
Behavior Analyst
5400 S UNIVERSITY DR, SUITE 413
DAVIE, FL 33328
Broward County (754) 223-5286
NATALIE WELNER MS, BCBA
Behavior Analyst
5400 S UNIVERSITY DR, SUITE # 413
DAVIE, FL 33328
Broward County (754) 223-5286

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Custom Crowns's NPI number?

The NPI number for Custom Crowns is 1538813910. It was assigned to this organization in the NPPES registry on February 4, 2022.

Where is Custom Crowns located?

Custom Crowns is located at 5400 S University Dr, Davie, FL 33328. The listed phone number is (954) 947-0641.

What is Custom Crowns's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Medical Laboratory, with taxonomy code 246RM2200X.

When was this NPI record last updated?

The NPPES record for Custom Crowns was last updated on February 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.