Healthcare Provider Details

I. General information

NPI: 1285646547
Provider Name (Legal Business Name): BROWARD INSTITUTE OF ORTHOPAEDIC SPECIALTIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 04/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4310 SHERIDAN ST
HOLLYWOOD FL
33021-3554
US

IV. Provider business mailing address

4440 SHERIDAN ST
HOLLYWOOD FL
33021-3535
US

V. Phone/Fax

Practice location:
  • Phone: 954-989-3500
  • Fax:
Mailing address:
  • Phone: 954-962-3508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY WORTH
Title or Position: OWNER
Credential: MD
Phone: 954-962-3508