PASADENA PEDITARICS P.A. NPI 1104988401

NPI Information

  • NPI: 1104988401
  • Provider Name: PASADENA PEDITARICS, P.A.
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 2476 N UNIVERSITY DR
    PEMBROKE PINES, FL
    ZIP 33024
  • Phone: (954) 436-0068

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NPI Details

PASADENA PEDITARICS, P.A. is a primary care clinic center in Pembroke Pines, FL. PASADENA PEDITARICS, P.A. NPI is 1104988401. The provider is registered as an organization entity type.

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 Maria Isabel Clemente .
The authorized official title is President and has the following contact phone number (954) 659-8550.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 7/18/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareME52086FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1262872400MEDICAIDFLORIDA
2048013400MEDICAIDFLORIDA
3272280100MEDICAIDFLORIDA
4266448800MEDICAIDFLORIDA
5271831600MEDICAIDFLORIDA

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: 11/21/2025

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