OrganizationActive
Eastside Surgical Services, Inc.
NPI 1972624344 · Oral and Maxillofacial Surgery Clinic/Center · Ft Lauderdale, FL
Provider details
- NPI number
- 1972624344
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Leslie Sultan, Administrator
- License
- 10648 (FL)
Practice location
5400 N Federal Hwy
Suite 102
Ft Lauderdale, FL 33308-3201
Phone: (954) 771-8772
Fax: (954) 771-8072
Mailing address
5400 N Federal Hwy
Ft Lauderdale, FL 33308-3201
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.