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BROWARD ENT SERVICES
NPI 1760646046
Otolaryngology - Facial Plastic Surgery in Plantation, FL

Active since July 15, 2008CLIA Certified · 2 labs
4101 S HOSPITAL DR, SUITE 14, PLANTATION, FL 33317(954) 368-3348(954) 900-4720 Get Directions Write a Review

NPPES record last updated: July 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broward Ent Services NPPES

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

BROWARD ENT SERVICES (NPI 1760646046) is a healthcare organization registered as a facial plastic surgery in Plantation, Florida and active in the NPI registry since July 2008. The organization holds 2 active CLIA laboratory certificates and lists Wilson Dumornay, Owner, as its authorized official.

NPPES Registry Identity

NPI1760646046
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameWILSON DUMORNAY M D P A
Location Address4101 S HOSPITAL DR, SUITE 14Plantation, FL 33317-2857
Mailing Address4101 S Hospital Dr, Suite 14Plantation, FL 33317-2857 · (954) 368-3348 · Fax (954) 900-4720
Phone(954) 368-3348
Fax(954) 900-4720
Organization SubpartNo
Authorized OfficialWilson DumornayOwner · (954) 368-3348
Enumeration DateJuly 15, 2008
Last NPPES UpdateJuly 21, 2015
✔ NPI 1760646046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in FL · ME 96799
Definition
An otolaryngologist who specializes in facial plastic surgery.
4101 S HOSPITAL DR, Plantation, FL 33317
Open in Google Maps ↗

Other Names 1

Doing Business AsBroward Ent Services

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2145098

Broward Ent Services · Fort Lauderdale, FL
Active · expires Feb 28, 2028
CLIA Number10D2145098
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorWilson Dumornay
Laboratory Phone(954) 368-3348
Laboratory LocationBroward Ent Services3536 N Federal Hwy Ste 102, Fort Lauderdale, FL 33308
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2145095

Broward Ent & Aesthetics · Fort Lauderdale, FL
Active · expires Feb 28, 2028
CLIA Number10D2145095
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorWilson Dumornay
Laboratory Phone(954) 368-3348
Laboratory LocationBroward Ent & Aesthetics2307 W Broward Blvd Ste 201, Fort Lauderdale, FL 33311
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

INGRAM PEDIATRICS, P.A
Clinic/Center (Primary Care)
4101 S HOSPITAL DR, SUITE 12
PLANTATION, FL 33317
Broward County (954) 321-1591
INFECTIONS AND TRAVEL MEDICINE CARE CENTER LLC
Internal Medicine (Infectious Disease)
4101 S HOSPITAL DR, SUITE 9
PLANTATION, FL 33317
Broward County (954) 327-8405
CLAUDIA PATRICIA TERAN NP
Nurse Practitioner (Obstetrics & Gynecology)
4101 S HOSPITAL DR
PLANTATION, FL 33317
Broward County (954) 587-5354
DESIREE DAVIS
Nurse Practitioner (Family)
4101 S HOSPITAL DR
PLANTATION, FL 33317
Broward County (954) 446-6464

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 Wilson Dumornay M D P A's NPI number?

The NPI number for Wilson Dumornay M D P A is 1760646046. It was assigned to this organization in the NPPES registry on July 15, 2008. The provider is doing business as Broward Ent Services.

Where is Wilson Dumornay M D P A located?

Wilson Dumornay M D P A is located at 4101 S Hospital Dr Suite 14, Plantation, FL 33317. The listed phone number is (954) 368-3348.

What is Wilson Dumornay M D P A's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Does Wilson Dumornay M D P A hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Wilson Dumornay M D P A was last updated on July 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.