Organization
SOUTHWEST BROWARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVARO BETANCUR (PRESIDENT)
(954) 392-1851
Entity
Organization
Contact information
Practice address
18503 PINES BLVD, SUITE 305, PEMBROKE PINES, FL 33029-1404
(954) 392-1851
Mailing address
18503 PINES BLVD, SUITE 305, PEMBROKE PINES, FL 33029-1404
(954) 392-1851
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12267
FL
261QE0002X
Emergency Care Clinic/Center
12267
FL
261QP3300X
Pain Clinic/Center
12267
FL
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
12267
FL
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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