PAM S MAZZELLA DIBOSCO


Address: 11800 Sw 44 St, Davie, FL 33330
Phone: 9542745386

PAM S MAZZELLA DIBOSCO (NPI# 1033384375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033384375
Entity Type Individual
Full Name PAM S MAZZELLA DIBOSCO
Credential IBCLC, RLC
Practice Address 11800 Sw 44 St
Davie
FL 33330
Practice Telephone 9542745386
Mailing Telephone 9542745386
Enumeration Date 2008-04-28
Last Update Date 2012-11-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174N00000X Lactation Consultant, Non-RN Other Service Providers

Office Location

Street Address 11800 SW 44 ST
City DAVIE
State FL
Zip Code 33330

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245830595 Community Children's Therapy, Inc Developmental Therapist 12353 Natalies Cove Rd, Cooper City, FL 33330 2020-10-27
1508365982 Sun Coast Recovery Ranch LLC Substance Abuse Rehabilitation Facility 4801 Hancock Rd, Southwest Ranches, FL 33330 2018-02-12
1487153441 Everglades Physicians Alliance LLC Internal Medicine 4745 Volunteer Road, Suite 301, Davie, FL 33330 2018-02-06
1639689532 Tariq Azeez Occupational Therapy Assistant 4301 S Flamingo Road #101, Davie, FL 33330 2017-10-05
1497129597 Right Path Recovery, LLC Substance Abuse Rehabilitation Facility 4801 Hancock Road, Southwest Ranches, FL 33330 2015-11-30
1104202878 Meghan Ashley Oswain Occupational Therapist 3141 Sw 118 Terrace, Davie, FL 33330 2015-08-05
1588075089 Nicole Santiago Respiratory Therapist, Registered 5117 Sw 122nd Terrace, Cooper City, FL 33330 2014-05-19
1205180171 Richard L. Sherman, D.d.s. Dentist 4725 Sw 148 Ave. Suite 203, Davie, FL 33330 2012-10-31
1952612996 Vikram V Thakar Podiatrist 11302 Sw 55 St, Cooper City, FL 33330 2010-06-24
1376875344 Carlos E. Spera, Md, Pa Clinic/Center 12575 Orange Drive #303, Davie, FL 33330 2010-02-02
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Taxonomy Information

Taxonomy Code 174N00000X
Grouping Other Service Providers
Classification Lactation Consultant, Non-RN

Taxonomy Definition

An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
Notes: Source: National Uniform Claim Committee [1/1/2011: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104427798 Juliane Velasquez Lactation Consultant, Non-RN 3041 Lackland Ave, Spring Hill, FL 34608-4341 2020-11-02
1821605817 Momcierge, Inc. Lactation Consultant, Non-RN 3207 Mazie Dr, Zephyrhills, FL 33541-4747 2020-09-24
1154932838 Krista Baggett Lactation Consultant, Non-RN 3105 45th Ave E, Bradenton, FL 34203-8896 2020-08-14
1942810353 Stephany Ley Lactation Consultant, Non-RN 1037 Golf Valley Dr, Apopka, FL 32712-2593 2020-08-01
1528686458 Chelsey Nicole Reed Lactation Consultant, Non-RN 8174 Sedgefield Dr, Pensacola, FL 32507-1414 2020-07-07
1871110668 Faith Christine Moorhouse Lactation Consultant, Non-RN 5629 23rd St W, Bradenton, FL 34207-3216 2020-06-29
1013532738 Ceyda Glover Lactation Consultant, Non-RN 1656 Loves Point Dr, Leesburg, FL 34748-6726 2020-06-09
1124668082 Mariana Bigio Rosemberg Lactation Consultant, Non-RN 7820 Sw 157th Ter, Palmetto Bay, FL 33157-2329 2020-01-08
1619517729 Stormy Miller Lactation Consultant, Non-RN 25326 Nw 173rd Ave, High Springs, FL 32643-2977 2020-01-07
1609414408 Janell Barnes Lactation Consultant, Non-RN 1255 Ne 128th St Apt 2, North Miami, FL 33161-5197 2019-12-12
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Competitor

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City DAVIE
Zip Code 33330

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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