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NPI Code Detail

MEDICARE: DR. JENNIFER SORROZA D.M.D.

MEDICARE:  DR. JENNIFER  SORROZA  D.M.D.
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 DentistryDN18251FL

General Provider Information

NPI Number : 1720247174
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER SORROZA D.M.D.
Provider Business Mailing Address
First Line : 9865 NW 2ND CT
Second Line :
City : PLANTATION
State : FL
Zip : 33324-7095
Country : US
Telephone Number : 954-309-6939
Fax Number :
Provider Business Practice Location Address
First Line : 1600 N STATE ROAD 7
Second Line :
City : LAUDERHILL
State : FL
Zip : 33313-5853
Country : US
Telephone Number : 954-581-9228
Fax Number : 954-581-7338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2008
Last Update Date : 06/02/2008

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Directions to “ DR. JENNIFER SORROZA D.M.D.” Practice Location

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