Healthcare Provider Details

I. General information

NPI: 1306135090
Provider Name (Legal Business Name): CIMA DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2011
Last Update Date: 04/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5481 N UNIVERSITY DR SUITE 103A
CORAL SPRINGS FL
33067-4643
US

IV. Provider business mailing address

5481 N UNIVERSITY DR SUITE 103A
CORAL SPRINGS FL
33067-4643
US

V. Phone/Fax

Practice location:
  • Phone: 954-575-0880
  • Fax:
Mailing address:
  • Phone: 954-575-0880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License NumberDN19155
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License NumberDN19062
License Number StateFL

VIII. Authorized Official

Name: DR. MARIA ALEJANDRA SEMPRUN
Title or Position: DENTIST
Credential: DMD
Phone: 305-924-5101