PHOENIX PEDIATRICS OF BROWARD LLC (NPI# 1508815655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508815655 |
| Entity Type | Organization |
| Organization Name | PHOENIX PEDIATRICS OF BROWARD LLC |
| Practice Address |
3000 Coral Hills Dr Phoenix Pediatrics of Broward Coral Springs FL 33065-4108 |
| Mailing Address |
3114 Croasdaile Dr Ste 200 Phoenix Pediatrics of Broward, LLC Durham NC 27705-2508 |
| Practice Telephone | 9543443100 |
| Practice Fax Number | 9194250478 |
| Mailing Telephone | 9548382371 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2019-09-11 |
| Authorized Official Name | KATHLEEN KONDAS (OFFICER) |
| Authorized Official Telephone | 9548382371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME39895 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 269098501 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619970498 | Phoenix Pediatrics of Broward LLC | Pediatrics | 1600 S Andrews Ave, Phoenix Pediatrics, Ft Lauderdale, FL 33316-2510 | 2005-05-24 |
| Street Address |
3000 CORAL HILLS DR PHOENIX PEDIATRICS OF BROWARD |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33065-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437145992 | David Bohorquez | Emergency Medicine | 3000 Coral Hills Dr, Coral Springs Ed, Coral Springs, FL 33065-4108 | 2005-09-21 |
| 1316565427 | Erika Mcateer | Nurse Anesthetist, Certified Registered | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 | 2020-07-07 |
| 1245861715 | Ekg Readers of Coral Springs Inc | Internal Medicine | 3000 Coral Hills Dr, Dept: Ekg Readers Panel, Coral Springs, FL 33065-4108 | 2020-02-03 |
| 1043871023 | Ashley N Bunnell | Nurse Anesthetist, Certified Registered | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 | 2019-06-21 |
| 1548726631 | Judith Gallo | Nurse Practitioner | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 | 2019-02-14 |
| 1013499862 | Mirela Danaj | Nurse Practitioner | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 | 2018-08-29 |
| 1619418977 | Michael Alexander Labi | Physician Assistant | 3000 Coral Hills Dr, Coral Springs, FL 33065 | 2017-03-19 |
| 1578013496 | Tracey Lynn Cabrera | Nurse Practitioner | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 | 2016-10-04 |
| 1134673767 | Coral Springs Physician Services, LLC | Physician Assistant | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 | 2016-08-11 |
| 1205220324 | Martin Peter Sayers | Emergency Medicine | 3000 Coral Hills Dr, Coral Springs, FL 33065-4108 | 2015-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899418 | United Adult Care Services, LLC | Home Health | 11448 West Sample Rd, Coral Springs, FL 33065 | 2020-07-28 |
| 1245872068 | Grace Diana Perez | Developmental Therapist | 3325 N University Drive, Coral Springs, FL 33065 | 2019-10-14 |
| 1497397210 | Anjulia Maureen Nicholson | Speech-Language Pathologist | 3100 Coral Hills Dr Suite 200, Coral Springs, FL 33065 | 2019-10-14 |
| 1467911131 | Sawgrass Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 12415 Nw 35 Street, Coral Springs, FL 33065 | 2019-03-13 |
| 1992274252 | Kayon Shepherd | Dermatology | 7837 West Sample Rd, #127, Coral Springs, FL 33065 | 2018-11-15 |
| 1073009148 | Empire Detox, LLC | Clinic/Center | 3000 Nw 101st Ln Ste 101-a, Coral Springs, FL 33065 | 2018-07-02 |
| 1487148706 | Perfect Balance Healthcare, Pllc | Pharmacist | 7500 Live Oak Dr., Coral Springs, FL 33065 | 2018-06-20 |
| 1477051498 | Neuro Wellness Centers of America, LLC | Clinic/Center | 9734 W Sample Rd, Coral Springs, FL 33065 | 2018-01-24 |
| 1821502550 | Happy Adult Day Care Rehab, LLC | Clinic/Center | 7463 W Sample Rd, Coral Springs, FL 33065 | 2017-11-16 |
| 1821500059 | I'd Rather Be Home Homecare Services LLC | Registered Nurse | 7501 Nw 42nd Drive, Coral Springs, FL 33065 | 2017-10-27 |
| Find all providers in zip 33065 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316589914 | Pediatric Specialty Group, Inc. | Pediatrics | 9750 Nw 33rd St Ste 109, Coral Springs, FL 33065-4000 | 2019-10-15 |
| 1245635630 | Kenneth L. Kronberg, M.d., P.a. | Pediatrics | 9417 W Sample Rd, Coral Springs, FL 33065-4102 | 2014-10-28 |
| 1376794982 | Ashley Bayer | Pediatrics | 8150 Royal Palm Blvd Ste 105, Coral Springs, FL 33065-5704 | 2008-10-02 |
| 1619010345 | Marie-carmel Sylvain | Pediatrics | 993 N University Dr, Coral Springs, FL 33071-7048 | 2007-02-14 |
| 1528078508 | Edna Lillian Tello | Pediatrics | 12621 Nw 8th Ct, Coral Springs, FL 33071-4425 | 2006-08-09 |
| 1821044736 | Jacob Seligsohn | Pediatrics | 700 Riverside Dr, Coral Springs, FL 33071-7008 | 2006-05-25 |
| 1982663811 | Arlene Risk Boykin | Pediatrics | 3000 Coral Hills Drive, Broward Health Coral Springs Nicu, Coral Springs, FL 33067 | 2006-03-20 |
| 1407832793 | Kenneth Lloyd Kronberg | Pediatrics | 9417 W Sample Road, Coral Springs, FL 33065 | 2005-12-19 |
| 1134118979 | Ileana De La Sota | Pediatrics | 9120 -a Wiles Rd, Coral Springs, FL 33067-1993 | 2005-10-14 |
| 1326035155 | Kendis Garrett | Pediatrics | 7451 Wiles Rd, Suite 205, Coral Springs, FL 33067-2040 | 2005-10-06 |
| Find all providers in CORAL SPRINGS | ||||
| City | CORAL SPRINGS |
| Zip Code | 33065 |
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| 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.