Healthcare Provider Details

I. General information

NPI: 1043480064
Provider Name (Legal Business Name): DR. TIMUR SEKERCIOGLU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2008
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18044 NW 6TH ST STE 103
PEMBROKE PINES FL
33029-2824
US

IV. Provider business mailing address

18044 NW 6TH ST STE 103
PEMBROKE PINES FL
33029-2824
US

V. Phone/Fax

Practice location:
  • Phone: 954-436-8500
  • Fax: 954-436-8502
Mailing address:
  • Phone: 954-436-8500
  • Fax: 954-436-8502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number18584
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: