MEDICARE: BROWARD HAND CENTER,INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0106X	Orthopaedic Hand Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073793030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROWARD HAND CENTER,INC

Provider Business Mailing Address
First Line	:	3100 CORAL HILLS DR STE 305B
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4138
Country	:	US
Telephone Number	:	954-575-8056
Fax Number	:	954-575-2563

Provider Business Practice Location Address
First Line	:	3100 CORAL HILLS DR STE 305B
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4138
Country	:	US
Telephone Number	:	954-575-8056
Fax Number	:	954-575-2563

Authorized Official
Title or Position	:	OWNER
Name	:	PURNELL TRAVERSO
Credential	:	MD
Telephone Number	:	954-298-2266

Provider Enumeration Date	:	11/07/2007
Last Update Date	:	02/17/2025

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