Provider Demographics
NPI:1073793030
Name:BROWARD HAND CENTER,INC
Entity type:Organization
Organization Name:BROWARD HAND CENTER,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PURNELL
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAVERSO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-298-2266
Mailing Address - Street 1:3100 CORAL HILLS DR STE 305B
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4138
Mailing Address - Country:US
Mailing Address - Phone:954-575-8056
Mailing Address - Fax:954-575-2563
Practice Address - Street 1:3100 CORAL HILLS DR STE 305B
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4138
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:2007-11-07
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4891720001Medicare NSC
FLK4125Medicare PIN