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EZ-PEDIATRICS NPI 1336539303


NPI Information

NPI: 1336539303
Provider Name: EZ-PEDIATRICS

Former Legal Business Name: EZPEDS, PA

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
10794 PINES BLVD
STE 102
PEMBROKE PINES, FL
ZIP 33026
Phone: (954) 431-8558
Get Directions

EZ-PEDIATRICS is a clinic center in Pembroke Pines, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EZ-PEDIATRICS NPI is 1336539303. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Ezpeds, Pa.

The provider's business location address is:

10794 PINES BLVD
STE 102
PEMBROKE PINES, FL
ZIP 33026-920
Phone: (954) 431-8558
Fax: (954) 431-3867

The provider's authorized official is Mario Donald Zambrano .
The authorized official title is Attending Physician/ceo and has the following contact phone number (954) 431-8558.

The enumeration date for this NPI number is 1/29/2015 and was last updated on 10/20/2016.


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
1261Q00000XClinic/CenterME068860FLORIDAYes

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
11508815531OTHERFLORIDANPI
2378700100MEDICAIDFLORIDA
31336539303OTHERFLORIDAGROUP NPI
4G151181OTHERFLORIDAUPIN
51750832366OTHERFLORIDANPI

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: 5/5/2024

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