Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broward Oral Surgery PA

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1568095255

Broward Oral Surgery PA is an Oral and Maxillofacial Surgery Clinic/Center in Pembroke Pines, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3157 N University Dr Ste 104
Pembroke Pines, FL 33024-2258
Phone: (954) 431-1600
Fax: (954) 432-7994
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X

Record details

NPI number1568095255
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laith Azzouni — Owner · (954) 431-1600
NPI enumeratedFebruary 20, 2020
Last updated in NPPESFebruary 20, 2020
Certification dateFebruary 20, 2020
Mailing address3157 N University Dr Ste 104, Pembroke Pines, FL 33024-2258

Other providers in Pembroke Pines