SOUTH BROWARD SURGICAL GROUP LLC
NPI 1619015658
Specialist in Pembroke Pines, FL

Q: What is South Broward Surgical Group LLC's NPI number?

The NPI number for South Broward Surgical Group LLC is 1619015658. It was assigned to this organization in the NPPES registry on February 2, 2007.

Q: What is South Broward Surgical Group LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since February 02, 2007

601 N FLAMINGO RD, SUITE 211, PEMBROKE PINES, FL 33028(954) 447-4480(954) 447-5344 Get Directions Write a Review

NPPES record last updated: October 15, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About South Broward Surgical Group Llc NPPES

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

SOUTH BROWARD SURGICAL GROUP LLC (NPI 1619015658) is a healthcare organization registered as a specialist in Pembroke Pines, Florida and active in the NPI registry since February 2007. The organization lists Dexter C Sereda, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1619015658

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSOUTH BROWARD SURGICAL GROUP LLC

Location Address601 N FLAMINGO RD, SUITE 211Pembroke Pines, FL 33028-1015

Mailing AddressPo Box 260939Pembroke Pines, FL 33026-7939 · (954) 447-4480 · Fax (954) 447-5344

Phone(954) 447-4480

Fax(954) 447-5344

Organization SubpartNo

Authorized OfficialDexter C SeredaManaging Partner · (954) 447-4480

Enumeration DateFebruary 2, 2007

Last NPPES UpdateOctober 15, 2008

✔ NPI 1619015658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

601 N FLAMINGO RD, Pembroke Pines, FL 33028

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Other Identifiers 5

Medicare UPIND21138

Medicare UPINH28418

Medicare UPINH09315

Medicare ID-Type UnspecifiedK5919Medicare Group Number

Medicaid270575300FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

ROBERT L LEVINSON MD

Internal Medicine

601 N FLAMINGO RD, STE 104
PEMBROKE PINES, FL 33028

Broward County (954) 435-5828

DR. HOWARD ALAN RUBENSTEIN MD

Internal Medicine (Gastroenterology)

601 N FLAMINGO RD, SUITE 105
PEMBROKE PINES, FL 33028

Broward County (954) 442-2228

ALL WOMENS HEALTHCARE OF SOUTH BROWARD INC

Obstetrics & Gynecology

601 N FLAMINGO RD, SUITE 205
PEMBROKE PINES, FL 33028

Broward County (954) 431-1211

MR. PAUL ANTHONY LICATA PA-C

Physician Assistant (Surgical)

601 N FLAMINGO RD
PEMBROKE PINES, FL 33028

Broward County (954) 724-0276

GAIL P BALLWEG MD PA

Specialist

601 N FLAMINGO RD, SUITE 406
PEMBROKE PINES, FL 33028

Broward County (954) 438-9112

LEONARD JACOB HOENIG M.D.

Internal Medicine

601 N FLAMINGO RD, SUITE #201
PEMBROKE PINES, FL 33028

Broward County (954) 438-0077

DR. STANLEY A SPATZ M.D.

Specialist

601 N FLAMINGO RD, SUITE 313
PEMBROKE PINES, FL 33028

Broward County (954) 433-0455

DR. SCOTT D. KAZDAN D.O.

Neuromusculoskeletal Medicine, Sports Medicine

601 N FLAMINGO RD, 209
PEMBROKE PINES, FL 33028

Broward County (954) 442-7616

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 South Broward Surgical Group LLC's NPI number?

The NPI number for South Broward Surgical Group LLC is 1619015658. It was assigned to this organization in the NPPES registry on February 2, 2007.

Where is South Broward Surgical Group LLC located?

South Broward Surgical Group LLC is located at 601 N Flamingo Rd Suite 211, Pembroke Pines, FL 33028. The listed phone number is (954) 447-4480.

What is South Broward Surgical Group LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for South Broward Surgical Group LLC was last updated on October 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.