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PASADENA PEDIATRICS P.A. NPI 1104928183


NPI Information

NPI: 1104928183
Provider Name: PASADENA PEDIATRICS, P.A.
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 10D1034509

Address:
2476 N UNIVERSITY DR
PEMBROKE PINES, FL
ZIP 33024
Phone: (954) 436-0068
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PASADENA PEDIATRICS, P.A. is an adolescent medicine pediatrics in Pembroke Pines, FL. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. PASADENA PEDIATRICS, P.A. NPI is 1104928183. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2476 N UNIVERSITY DR
PEMBROKE PINES, FL
ZIP 33024-624
Phone: (954) 436-0068
Fax: (954) 431-5006

The provider's authorized official is Rufus Joseph .
The authorized official title is Owner and has the following contact phone number (954) 436-0068.

The CLIA number assigned to this NPI record is 10D1034509 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent MedicineME52086FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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