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NPI Code Detail

MEDICARE: MERVYN HURWITZ DDS

MEDICARE:   MERVYN  HURWITZ  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry11465FL

General Provider Information

NPI Number : 1194770180
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERVYN HURWITZ DDS
Provider Business Mailing Address
First Line : 3015 BAYVIEW DR
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33306-1771
Country : US
Telephone Number : 954-566-1548
Fax Number : 954-566-8055
Provider Business Practice Location Address
First Line : 3015 BAYVIEW DR
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33306-1771
Country : US
Telephone Number : 954-566-1548
Fax Number : 954-566-8055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 07/08/2007

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Directions to “ MERVYN HURWITZ DDS” Practice Location

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