Provider Demographics
NPI:1568647139
Name:BROWARD SURGICAL ASSOCIATES INC
Entity Type:Organization
Organization Name:BROWARD SURGICAL ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:TRANAKAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-491-0900
Mailing Address - Street 1:2800 E COMMERCIAL BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-4202
Mailing Address - Country:US
Mailing Address - Phone:954-491-0900
Mailing Address - Fax:954-491-1306
Practice Address - Street 1:2800 E COMMERCIAL BLVD STE 102
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4202
Practice Address - Country:US
Practice Address - Phone:954-491-0900
Practice Address - Fax:954-491-1306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL40868Medicare PIN
FLAE585ZMedicare PIN