Provider Demographics
NPI:1134516750
Name:SULTAN CENTER
Entity Type:Organization
Organization Name:SULTAN CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGICAL ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CONTRERAS
Authorized Official - Suffix:
Authorized Official - Credentials:CST
Authorized Official - Phone:954-822-5706
Mailing Address - Street 1:4800 N FEDERAL HWY
Mailing Address - Street 2:201
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308
Mailing Address - Country:US
Mailing Address - Phone:954-771-8772
Mailing Address - Fax:954-771-8072
Practice Address - Street 1:4800 N FEDERAL HWY
Practice Address - Street 2:201
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4602
Practice Address - Country:US
Practice Address - Phone:954-771-8772
Practice Address - Fax:954-771-8072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL132277282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1699853721OtherINDIVIDUAL NPI NUMBER