SOUTH FLORIDA PEDIATRIC OTOLARYNGOLOGY PA (NPI# 1225323389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225323389 |
| Entity Type | Organization |
| Organization Name | SOUTH FLORIDA PEDIATRIC OTOLARYNGOLOGY PA |
| Practice Address |
1505 S Andrews Ave Fort Lauderdale FL 33316-2507 |
| Practice Telephone | 9548888997 |
| Practice Fax Number | 9547629466 |
| Mailing Telephone | 9548888997 |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2016-06-09 |
| Authorized Official Name | DR. JACOB W ZEIDERS (OWNER) |
| Authorized Official Telephone | 9548888997 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
ME96535 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1505 S ANDREWS AVE |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356455612 | Jacob W Zeiders IIi | Otolaryngology | 1505 S Andrews Ave, Fort Lauderdale, FL 33316-2507 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 207YP0228X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Pediatric Otolaryngology |
| A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619389962 | Pediatric Ent of Southwest Florida Pllc | Otolaryngology | 19 Georgetown, Fort Myers, FL 33919-1088 | 2014-05-21 |
| 1508002072 | Pediatric Ent, LLC | Otolaryngology | 1499 S Harbor City Blvd Ste 303, Melbourne, FL 32901-3245 | 2009-01-05 |
| 1285888396 | Yamilet Tirado | Otolaryngology | 3100 S.w. 62nd Avenue, Suite 124, Miami, FL 33155 | 2008-11-17 |
| 1295928380 | Aiysha C Balbosa | Otolaryngology | 5830 Coral Ridge Dr Ste 140, Coral Springs, FL 33076-3388 | 2007-08-22 |
| 1801002100 | Kyle Leslie Bressler | Otolaryngology | 6754 Stonegate Dr, Naples, FL 34109-7224 | 2007-05-15 |
| 1114011707 | Karin Swisher Hotchkiss | Otolaryngology | 5105 N Armenia Ave, Tampa, FL 33603-1405 | 2006-10-03 |
| 1568554400 | Scott Brietzke | Otolaryngology | 1131 N 35th Ave Ste 300, Hollywood, FL 33021 | 2006-09-29 |
| 1669573028 | Kathleen M Wasylik | Otolaryngology | 601 5th St. South, #701, St Petersburg, FL 33701 | 2006-09-26 |
| 1801902739 | Saswata Roy | Otolaryngology | 11705 San Jose Blvd, Ste 103, Jacksonville, FL 32223-1835 | 2006-08-22 |
| 1275588303 | Daniel L Wohl | Otolaryngology | 4114 Sunbeam Rd, Suite 403, Jacksonville, FL 32257-8847 | 2006-05-24 |
| Find all providers with the same taxonomy | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
Please comment or provide details below to improve the information on SOUTH FLORIDA PEDIATRIC OTOLARYNGOLOGY PA.
| 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.