Organization
SUNSHINE PEDIATRIC DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BRODY D.D.S (OWNER)
(305) 535-8001
Entity
Organization
Contact information
Practice address
5000 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6530
(954) 989-4400
Mailing address
5000 HOLLYWOOD BLVD SUITE 1, HOLLYWOOD, FL 33021
(954) 989-4400
(954) 989-4435
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004473000
—
FL
Enumeration date
01/25/2012
Last updated
12/29/2014
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