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EAST/WEST PEDIATRICS P.A. NPI 1336103837


NPI Information

NPI: 1336103837
Provider Name: EAST/WEST PEDIATRICS, P.A.
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1319 SE 2ND AVE
FT LAUDERDALE, FL
ZIP 33316
Phone: (954) 467-3053
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EAST/WEST PEDIATRICS, P.A. is a pediatrics in Ft Lauderdale, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. EAST/WEST PEDIATRICS, P.A. NPI is 1336103837. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1319 SE 2ND AVE
FT LAUDERDALE, FL
ZIP 33316-809
Phone: (954) 467-3053
Fax: (954) 467-5424

The provider's authorized official is Ragini Dharmappa .
The authorized official title is Office Manager and has the following contact phone number (954) 452-7576.

The enumeration date for this NPI number is 4/13/2006 and was last updated on 5/15/2008.


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
1208000000XPediatricsME0037089FLORIDANo
2208000000XPediatricsME0037416FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1374383700MEDICAIDFLORIDA
224762OTHERFLORIDAFL BLUE CROSS/BLUE SHIELD

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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