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BROWARD ORAL SURGERY PA
NPI 1568095255
Clinic/Center - Oral and Maxillofacial Surgery in Pembroke Pines, FL

Active since February 20, 2020
3157 N UNIVERSITY DR STE 104, PEMBROKE PINES, FL 33024(954) 431-1600(954) 432-7994 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broward Oral Surgery Pa NPPES

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

BROWARD ORAL SURGERY PA (NPI 1568095255) is a healthcare organization registered as an oral and maxillofacial surgery in Pembroke Pines, Florida and active in the NPI registry since February 2020. The organization lists Laith Azzouni, Owner, as its authorized official.

NPPES Registry Identity

NPI1568095255
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameBROWARD ORAL SURGERY PA
Location Address3157 N UNIVERSITY DR STE 104Pembroke Pines, FL 33024-2258
Mailing Address3157 N University Dr Ste 104Pembroke Pines, FL 33024-2258 · (954) 431-1600 · Fax (954) 432-7994
Phone(954) 431-1600
Fax(954) 432-7994
Organization SubpartNo
Authorized OfficialLaith AzzouniOwner · (954) 431-1600
Enumeration DateFebruary 20, 2020
✔ NPI 1568095255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
Definition
An oral and maxillofacial surgery clinic or center specialized in 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.
3157 N UNIVERSITY DR STE 104, Pembroke Pines, FL 33024
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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 Broward Oral Surgery PA's NPI number?

The NPI number for Broward Oral Surgery PA is 1568095255. It was assigned to this organization in the NPPES registry on February 20, 2020.

Where is Broward Oral Surgery PA located?

Broward Oral Surgery PA is located at 3157 N University Dr Ste 104, Pembroke Pines, FL 33024. The listed phone number is (954) 431-1600.

What is Broward Oral Surgery PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Broward Oral Surgery PA was last updated on February 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.