NPI 1780760983

Associated Medical Practice

Organisation Legal Medicine Pembroke Pines, FL

Practice location

Address: 603 N Flamingo Rd Suite150, Pembroke Pines, FL 33028-1023
Phone: (954) 436-6660
Fax: (954) 436-6655
Mailing address: 603 N Flamingo Road Suite 150, Pembroke Pines, FL 33028

Authorised official

Name: Mian Hasan
Title: President
Phone: (954) 436-6660

Registered specialties (2)

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence ME84291 (FL)

Other Legal Medicine providers in Florida →

Legal Medicine

Other Service Providers Taxonomy 173000000X Licence ME80305 (FL)

Registry record

NPI: 1780760983
Entity type: Organization
NPI issued: 31 Oct 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.