| Organization Name: | SOUTH BROWARD ENDOSCOPY L L C |
| NPI Number: | 1306833009 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN PATRICIA SABLYAK (TREASURER) |
| Mailing Address: | 11011 Sheridan St Suite 106 Cooper City |
| State: | FL US |
| Postal Code: | 330261505 |
| Phone Number: | 9544350101 |
| Fax Number: | 9544350125 |
| NPI Enumeration Date: | 09/29/2005 |
| NPI Last Update Date: | 11/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0800X |
| License Number: | 1233 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Endoscopy |
| Taxonomy Definition: | |