Healthcare Provider Details
I. General information
NPI: 1114291036
Provider Name (Legal Business Name): FLOCOMS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/24/2012
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17901 NW 5TH ST SUITE #101
PEMBROKE PINES FL
33029
US
IV. Provider business mailing address
17901 NW 5TH ST STE 101
PEMBROKE PINES FL
33029-2810
US
V. Phone/Fax
- Phone: 954-437-2222
- Fax: 954-437-2244
- Phone: 954-437-2222
- Fax: 954-437-2244
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223S0112X |
| Taxonomy | Oral and Maxillofacial Surgery (Dentist) |
| License Number | DN-16858 |
| License Number State | FL |
VIII. Authorized Official
Name:
ALFREDO
E
TENDLER
Title or Position: PRESIDENT
Credential:
Phone: 954-437-2222