| Brush Coral Springs Pllc | |
|
961 N University Dr Coral Springs FL 33071-7048 | |
| (954) 753-1600 | |
| (954) 753-6609 |
| Full Name | Brush Coral Springs Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 961 N University Dr, Coral Springs, Florida |
| Authorized Official Name and Position | Kathy Ann Sweeney (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9547531600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brush Coral Springs Pllc 961 N University Dr Coral Springs FL 33071-7048 Ph: (954) 753-1600 | Brush Coral Springs Pllc 961 N University Dr Coral Springs FL 33071-7048 Ph: (954) 753-1600 |
| NPI Number | 1841703790 |
|---|---|
| Provider Enumeration Date | 11/14/2017 |
| Last Update Date | 11/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841703790 | NPI | - | NPPES |
| 123456789 | Other | GENERAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN19814 (Florida) | Primary |
| 261QD0000X | Clinic/center - Dental | DN14279 (Florida) | Secondary |
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