Provider Demographics
NPI:1205989845
Name:BROWARD ENT AND ALLERGY, P.A.
Entity type:Organization
Organization Name:BROWARD ENT AND ALLERGY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:S
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-583-7770
Mailing Address - Street 1:4101 NW 4TH ST
Mailing Address - Street 2:# 100
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2850
Mailing Address - Country:US
Mailing Address - Phone:954-583-7770
Mailing Address - Fax:954-581-3570
Practice Address - Street 1:4101 NW 4TH ST
Practice Address - Street 2:# 100
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2850
Practice Address - Country:US
Practice Address - Phone:954-583-7770
Practice Address - Fax:954-581-3570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL38440Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER