PEDIATRIC SPECIALTY GROUP, INC. (NPI# 1316589914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316589914 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC SPECIALTY GROUP, INC. |
| Practice Address |
9750 Nw 33rd St Ste 109 Coral Springs FL 33065-4000 |
| Mailing Address |
Po Box 865095 Orlando FL 32886-5095 |
| Practice Telephone | 9545751211 |
| Practice Fax Number | 9545751205 |
| Mailing Telephone | 9545751211 |
| Mailing Fax Number | 9545751205 |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |
| Authorized Official Name | ELIZABETH MENOCAL (DIRECTOR, MEDICAL STAFF) |
| Authorized Official Telephone | 3056628357 |
| Is Organization Subpart | Y |
| Parent Organization Name | PEDIATRIC SPECIALTY GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pediatric Specialists of America at Coral Springs | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457965345 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-09-08 |
| 1306459177 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-08-31 |
| 1235774852 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, 1st Floor, Trauma Unit, Miami, FL 33155-3009 | 2019-11-07 |
| 1124553656 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Apcp- 6 Tower, Suite 6226, Miami, FL 33155-3009 | 2017-04-21 |
| 1881128171 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Palliative Care Medicine- 3rd Floor- Suite 6-74, Miami, FL 33155 | 2017-04-13 |
| 1194277756 | Pediatric Specialty Group, Inc. | Psychologist | 3100 Sw 62nd Ave, Department of Psychology, Miami, FL 33155-3009 | 2016-10-31 |
| 1528512001 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Department of Gastroenterology, Miami, FL 33155 | 2016-08-12 |
| 1891249371 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave Ste 102, Miami, FL 33155 | 2016-08-12 |
| 1982158820 | Pediatric Specialty Group, Inc. | Ophthalmology | 3100 Sw 62nd Ave, Miami, FL 33155 | 2016-08-09 |
| 1689128530 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Attention: Physician Rcm @ Blue Lagoon- 8th Floor, Miami, FL 33155-3009 | 2016-08-09 |
| Street Address |
9750 NW 33RD ST STE 109 |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33065-4000 |
| 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 | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503442 | Gerold Ludwig Schiebler | Pediatrics | 408 Beachside Pl, Amelia Island, FL 32034-6551 | 2019-02-02 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1124446182 | Kinjal Parikh | Pediatrics | 3100 Sw 62nd Ave Dept of Medical Education, Miami, FL 33155 | 2014-04-06 |
| 1154694016 | Kidz Medical Services | Pediatrics | 5325 Greenwood Ave Ste 202, West Palm Beach, FL 33407-2452 | 2012-02-22 |
| 1932477023 | Samir M. Ebeid | Pediatrics | 2202 State Ave Ste 302, Panama City, FL 32405 | 2011-12-05 |
| 1083927537 | Mch Pediatric Cardiology, LLC | Pediatrics | 12989 Southern Boulevard Palms West, Mob IIi Suite 203, Loxahatchee, FL 33470 | 2010-07-26 |
| 1407023310 | Salvatore Joseph Buonaiuto | Pediatrics | 601 E. Rollins St., Florida Hospital for Children, Orlando, FL 32803 | 2008-05-09 |
| 1801060652 | Sumbal Sattar | Pediatrics | 512 W Cherry St Ste D, Kissimmee, FL 34741-4114 | 2008-04-14 |
| 1871613620 | Carlo M Zeidenweber | Pediatrics | 9980 Central Park Blvd N Ste 318, Boca Raton, FL 33428-1704 | 2007-03-29 |
| 1295874113 | Ramon Rodriguez-torres | Pediatrics | 13911 Sw 103rd Ave, Miami, FL 33176-6614 | 2007-02-06 |
| Find all providers with the same taxonomy | ||||
| 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.