PEDIATRIC CARE OF POMPANO, LLC (NPI# 1700973971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700973971 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC CARE OF POMPANO, LLC |
| Practice Address |
200 Se 19th Street Pompano Beach FL 33060 |
| Mailing Address |
6400 Atlantic Blvd Jacksonville FL 32211-8768 |
| Practice Telephone | 9549437638 |
| Mailing Telephone | 9048051300 |
| Mailing Fax Number | 9048051456 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEVEN SCOTT (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9048051300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | GRP BCBS # | 39227 | 01 |
| Street Address |
200 SE 19TH STREET |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606631 | Healthstat Wellness Health Center John Knox Village | Preventive Medicine | 500 South West 3rd Street, Suite 100, Pompano Beach, FL 33060 | 2020-10-14 |
| 1184234510 | Mediplus Clinic | Clinic/Center | 151 Sw 6th Street, Pompano Beach, FL 33060 | 2020-07-31 |
| 1912566415 | Sophia Thompson | Specialist/Technologist | 817 N Dixie Highway, Pompano Beach, FL 33060 | 2019-06-07 |
| 1508342460 | Gayta Prospere | Counselor | 871 North Dixie Highway, Pompano Beach, FL 33060 | 2018-07-13 |
| 1801303847 | Mediplus Clinic, Inc | General Practice | 151-155 Sw 6th Street, Pompano Beach, FL 33060 | 2017-12-29 |
| 1932624673 | Molly Waterway | Technician, Other | 200 Sw 16th St., Pompano Beach, FL 33060 | 2017-08-03 |
| 1366965089 | Jordan Terrell Striggles | Technician, Other | 1871 Nw 5th Terr, Pompano Beach, FL 33060 | 2017-07-25 |
| 1568832848 | Richard Orlan | Hearing Instrument Specialist | 550 S.w. 3rd St., #101b, Pompano Beach, FL 33060 | 2015-09-30 |
| 1700270808 | Lab Geeks, LLC | Clinical Medical Laboratory | 1701 Green Road, Suite B, Deerfield Beach, FL 33060 | 2015-03-26 |
| 1023412236 | Jesica Christine Velez | Behavioral Analyst | 911 East Atlantic Bulevard #108a, Pompano Beach, FL 33060 | 2014-10-17 |
| Find all providers in zip 33060 | ||||
| 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 |
|---|---|---|---|---|
| 1710460704 | Bright Light Pediatrics, Pllc | Pediatrics | 601 E Sample Rd Ste 103, Pompano Beach, FL 33064-4443 | 2018-09-14 |
| 1437684164 | Allegra Meacham | Pediatrics | 330 Se 6th Ter, Pompano Beach, FL 33060-8040 | 2017-05-01 |
| 1285053009 | Kimberly Cruz | Pediatrics | 1221 Ne 26th Ave, Pompano Beach, FL 33062-3724 | 2014-04-09 |
| 1821379058 | Atlantic Pediatric Partners LLC | Pediatrics | 4701 N Federal Hwy Ste 370, Pompano Beach, FL 33064-6550 | 2011-09-01 |
| 1639266984 | Sarita Munuswamy | Pediatrics | 1600 North Federal Hwy, Suite B, Pompano Beach, FL 33062 | 2006-10-06 |
| 1124083241 | Wallace V Korn | Pediatrics | 601 W Atlantic Blvd, Pompano Beach, FL 33060 | 2006-04-20 |
| 1033182886 | Alexandra Silva-plazas | Pediatrics | 135 S Pompano Pkwy, Pompano Beach, FL 33069-3003 | 2006-02-10 |
| 1871578641 | East Pompano Pediatrics Corp | Pediatrics | 601 East Sample Road, Suite 107, Pompano Beach, FL 33064 | 2005-12-14 |
| 1629067178 | Charles Teebagy | Pediatrics | 1800 N Federal Hwy, #110, Pompano Beach, FL 33062-1095 | 2005-10-18 |
| 1831188390 | Allen Furia | Pediatrics | 4701 N. Federal Hwy., Suite #370, Pompano Beach, FL 33064 | 2005-10-18 |
| Find all providers in POMPANO BEACH | ||||
| City | POMPANO BEACH |
| Zip Code | 33060 |
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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.