OrganizationActive
Broward Oral Surgery PA
NPI 1568095255 · Oral and Maxillofacial Surgery Clinic/Center · Pembroke Pines, FL
Provider details
- NPI number
- 1568095255
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Laith Azzouni, Owner(954) 431-1600
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3157 N University Dr Ste 104
Pembroke Pines, FL 33024-2258
Phone: (954) 431-1600
Fax: (954) 432-7994
Approximate (ZIP-level) locationGet directions
Mailing address
3157 N University Dr Ste 104
Pembroke Pines, FL 33024-2258
Registry dates
- Enumerated
- 2020-02-20
- Last updated
- 2020-02-20
- Certified
- 2020-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.