Healthcare Provider Details

I. General information

NPI: 1457400665
Provider Name (Legal Business Name): THOMAS AQUINAS ZURFLUH DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8850 W STATE ROAD 84
DAVIE FL
33324-4455
US

IV. Provider business mailing address

8850 W STATE ROAD 84
DAVIE FL
33324-4455
US

V. Phone/Fax

Practice location:
  • Phone: 954-476-1163
  • Fax: 954-476-0015
Mailing address:
  • Phone: 954-476-1163
  • Fax: 954-476-0015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN0013443
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: