Provider Demographics
NPI:1639587413
Name:TRAVERSO HAND INC
Entity Type:Organization
Organization Name:TRAVERSO HAND INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PURNELL
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAVERSO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-575-8056
Mailing Address - Street 1:3100 CORAL HILLS DR
Mailing Address - Street 2:SUITE 305
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4137
Mailing Address - Country:US
Mailing Address - Phone:954-575-8056
Mailing Address - Fax:954-575-2563
Practice Address - Street 1:3100 CORAL HILLS DR
Practice Address - Street 2:SUITE 305
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4137
Practice Address - Country:US
Practice Address - Phone:954-575-8056
Practice Address - Fax:954-575-2563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-24
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Single Specialty