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SUZANNE PAVLOU MD PLLC NPI 1396017513


NPI Information

NPI: 1396017513
Provider Name: SUZANNE PAVLOU MD PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
9858 CLINT MOORE RD
SUITE C111-236
BOCA RATON, FL
ZIP 33496
Phone: (561) 676-7488
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SUZANNE PAVLOU MD PLLC is a pediatrics in Boca Raton, 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. SUZANNE PAVLOU MD PLLC NPI is 1396017513. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9858 CLINT MOORE RD
SUITE C111-236
BOCA RATON, FL
ZIP 33496-034
Phone: (561) 676-7488
Fax: (561) 910-4785

The provider's authorized official is Suzanne Pavlou .
The authorized official title is Managing Member and has the following contact phone number (561) 676-7488.

The enumeration date for this NPI number is 2/3/2012 and was last updated on 2/3/2012.


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
1208000000XPediatricsME90011FLORIDAYes

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
1270305000MEDICAIDFLORIDA

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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