MR. EARLE M PESCATORE JR. (NPI# 1336147693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336147693 |
Entity Type | Individual |
Full Name | MR. EARLE M PESCATORE JR. |
Credential | D.O. |
Practice Address |
2021 E Commercial Blvd Suite 305 Ft Lauderdale FL 33308-3763 |
Practice Telephone | 9547341298 |
Mailing Telephone | 9547341298 |
Enumeration Date | 2005-07-11 |
Last Update Date | 2014-12-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207V00000X | Obstetrics & Gynecology | 036102614 | IL | Allopathic & Osteopathic Physicians |
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
OS11075 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036102614-2 | 05 | |
IL | BLUE CROSS BLUE SHIELD | 10123243 | 01 |
IL | HEALTH ALLIANCE | 101552 | 01 |
IL | AETNA | 7648181 | 01 |
IL | 0369102614 | 05 | |
IL | JOHN DEERE | IL0100 | 01 |
Street Address |
2021 E COMMERCIAL BLVD SUITE 305 |
City | FT LAUDERDALE |
State | FL |
Zip Code | 33308-3763 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669621355 | Yolanda Cintron | Dentist | 2021 E Commercial Blvd, Ft Lauderdale, FL 33308-3763 | 2008-09-17 |
1265628424 | Coral Ridge Gastroenterology Associates LLC | Internal Medicine | 2021 E Commercial Blvd, Suite 202, Ft Lauderdale, FL 33308-3763 | 2007-09-21 |
1215988837 | United Services of South Florida | Family Medicine | 2021 E Commercial Blvd, Suite 308, Ft Lauderdale, FL 33308-3763 | 2006-05-16 |
1841240496 | Paul Calise | Psychiatry & Neurology | 2021 E Commercial Blvd, Ste 201, Ft Lauderdale, FL 33308-3763 | 2006-05-12 |
1841286424 | Marc Jay Gannon | Optometrist | 2021 E Commercial Blvd, Suite #301, Ft Lauderdale, FL 33308-3763 | 2005-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
Find all providers in zip 33308 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346439759 | Rio Vista Ob-gyn Associates Limited Partnership | Obstetrics & Gynecology | 1625 Se 3rd Ave, Suite 701, Ft Lauderdale, FL 33316-2521 | 2007-10-22 |
1316918014 | Minda Neimark | Obstetrics & Gynecology | 6405 N Federal Hwy, Suite 402, Ft Lauderdale, FL 33308-1412 | 2006-01-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053910240 | Jeffrey M Greenberg Md Medical Services Inc | Obstetrics & Gynecology | 13324 Pond Apple Dr W, Naples, FL 34119-8556 | 2020-10-20 |
1497365464 | Hamel Foundation Inc | Obstetrics & Gynecology | 7777 N University Dr Ste 206, Tamarac, FL 33321-6106 | 2020-08-05 |
1336786466 | Manfred Emil Trostel | Obstetrics & Gynecology | 2425 Gulf of Mexico Dr Unit 8d, Longboat Key, FL 34228-3213 | 2019-12-09 |
1790335164 | Customized Wellness, LLC | Obstetrics & Gynecology | 131 W Center Avenue, Sebring, FL 33870 | 2019-09-17 |
1649737552 | Joe Walker Bancroft Jr. | Obstetrics & Gynecology | 4618 Long Bow Rd. South, Jacksonville, FL 32210-8144 | 2019-02-27 |
1649748666 | Kristin M Jackson LLC | Obstetrics & Gynecology | 260 Lookout Pl Ste 201, Maitland, FL 32751-4485 | 2018-11-07 |
1710476239 | Yvette Pereyra Ans | Obstetrics & Gynecology | 3990 Sheridan St Ste 214, Hollywood, FL 33021-3656 | 2018-05-10 |
1194223800 | Vandyke Md Ob/gyn Pa | Obstetrics & Gynecology | 9161 Narcoossee Rd Ste B209, Orlando, FL 32827-5764 | 2018-01-28 |
1538676515 | Adam Ostrzenski | Obstetrics & Gynecology | 7001 Central Ave Ste 3, St Petersburg, FL 33710-7549 | 2017-12-29 |
1144735945 | Judith Watson Bradfield | Obstetrics & Gynecology | 8024 Links Way, Port St Lucie, FL 34986-3035 | 2017-12-04 |
Find all providers with the same taxonomy |
City | FT LAUDERDALE |
Zip Code | 33308 |
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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.