Healthcare Provider Details

I. General information

NPI: 1780457267
Provider Name (Legal Business Name): DHG MEDICAL CENTERS #3 INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2323 NE 26TH AVE STE 102
POMPANO BEACH FL
33062-1147
US

IV. Provider business mailing address

2323 NE 26TH AVE STE 102
POMPANO BEACH FL
33062-1147
US

V. Phone/Fax

Practice location:
  • Phone: 954-933-1691
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JUAN C BASTO
Title or Position: CEO
Credential: OWNER
Phone: 954-817-1010