PEDIATRIC MD SERVICES, LLC (NPI# 1336328046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336328046 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC MD SERVICES, LLC |
| Practice Address |
1325 S Congress Ave Suite 109 Boynton Beach FL 33426-5876 |
| Practice Telephone | 5617362510 |
| Practice Fax Number | 5615034873 |
| Mailing Telephone | 5617362510 |
| Mailing Fax Number | 5615034873 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2008-09-21 |
| Authorized Official Name | SUZANNE PAVLOU (PRESIDENT/CEO) |
| Authorized Official Telephone | 5617362510 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME90011 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 270305000 | 05 |
| Street Address |
1325 S CONGRESS AVE SUITE 109 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33426-5876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558352708 | Jeffrey S. Farber | Physical Medicine & Rehabilitation | 1325 S Congress Ave, Suite 208, Boynton Beach, FL 33426-5876 | 2005-11-04 |
| 1689112989 | Florida Gastro Partners LLC | Specialist | 1325 S Congress Ave, Suite 211, Boynton Beach, FL 33426-5876 | 2017-02-07 |
| 1992242481 | Alan Bruce Dautch, Pa | Chiropractor | 1325 S Congress Ave, Suite #105, Boynton Beach, FL 33426-5876 | 2017-01-23 |
| 1063968907 | All In Medical LLC | Social Worker | 1325 S Congress Ave, Suite 203, Boynton Beach, FL 33426-5876 | 2016-08-31 |
| 1912358078 | Joan Marie Fiumara | Nurse Practitioner | 1325 S Congress Ave, Suite 110, Boynton Beach, FL 33426-5876 | 2016-06-29 |
| 1215353289 | Bgst Gi, LLC | Internal Medicine | 1325 S Congress Ave, Suite 211, Boynton Beach, FL 33426-5876 | 2014-03-13 |
| 1013349638 | Mark G Warren Dpm Pa | Podiatrist | 1325 S Congress Ave, Suite 108, Boynton Beach, FL 33426-5876 | 2013-08-06 |
| 1245672682 | Xiaoqi Jiang | Acupuncturist | 1325 S Congress Ave, Suite 207, Boynton Beach, FL 33426-5876 | 2013-07-26 |
| 1841631934 | Injury Treatment Center of Boynton Beach, Inc. | Non-Pharmacy Dispensing Site | 1325 S Congress Ave, #105, Boynton Beach, FL 33426-5876 | 2013-07-17 |
| 1114287232 | Yoracxis Durand | Specialist/Technologist, Other | 1325 S Congress Ave, Suite101, Boynton Beach, FL 33426-5876 | 2012-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231690 | Gail J Laufer Inc | Clinic/Center | 1660 Ren. Commons Blvd, 2411, Boynton Beach, FL 33426 | 2020-06-30 |
| 1497399125 | Roots To Recovery, LLC | Substance Abuse Rehabilitation Facility | 514 Nw 7th Court, Boynton Beach, FL 33426 | 2019-11-06 |
| 1609429547 | Roman Health Pharmacy LLC | Pharmacy | 3602 Quantum Blvd, Boynton Beach, FL 33426 | 2019-07-19 |
| 1710457783 | Immersion Residential LLC | Substance Abuse Rehabilitation Facility | 900 N Congress Ave, Boynton Beach, FL 33426 | 2018-12-03 |
| 1013425727 | Latoya Camay Howell | Family Medicine | 1605 Renaissance Commons Blvd, 428, Boynton Beach, FL 33426 | 2018-01-16 |
| 1699292979 | Vitae Services of The Palm Beaches, Inc. | Home Health | 517 Industrail Ave., Boynton Beach, FL 33426 | 2017-08-28 |
| 1063933075 | Perla G Salazar | Dentist | 1690 Renaissance Commons Blvd Apt 1625, Boynton Beach, FL 33426 | 2017-06-29 |
| 1801339411 | Marianna Zadov, P.a | Dentist | 1301 N Congress Ave #110, Boyton Beach, FL 33426 | 2016-11-30 |
| 1366801334 | Medical Consultants of Florida | Non-Pharmacy Dispensing Site | 1485 Gateway Blvd Ste 102, Boynton Beach, FL 33426 | 2016-02-18 |
| 1396114443 | Beachway Therapy Center LLC | Substance Abuse Rehabilitation Facility | 2600 Quantum Blvd, Suite B, 1st Floor, Boynton Beach, FL 33426 | 2015-09-18 |
| Find all providers in zip 33426 | ||||
| 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 |
|---|---|---|---|---|
| 1508101924 | Seymour L Handler | Pediatrics | 9428 Ivory Isle Rd, Boynton Beach, FL 33473-7874 | 2012-12-11 |
| 1275889040 | It Medical Billing and Coding, LLC | Pediatrics | 7494 Brunswick Cir, Boynton Beach, FL 33472-2537 | 2012-07-31 |
| 1538302021 | Petra Kaye Mcewan | Pediatrics | 9868 S State Road 7 Ste 305, Boynton Beach, FL 33472-4475 | 2009-04-13 |
| 1457415085 | The Childrens Doctor | Pediatrics | 8200 Jog Rd Ste 102, Boynton Beach, FL 33437-2981 | 2006-12-20 |
| 1588604565 | Jeanne K. Letsky | Pediatrics | 10301 Hagen Ranch Rd Ste 760, Boynton Beach, FL 33437-3777 | 2006-06-07 |
| 1073515532 | Deborah R. Nuessly | Pediatrics | 6080 Boynton Beach Blvd Ste 240, Boynton Beach, FL 33437-3586 | 2005-08-15 |
| 1477555340 | Scott David Fisch | Pediatrics | 8200 S Jog Rd Ste 203, Boynton Beach, FL 33472-2981 | 2005-08-11 |
| 1861493108 | Daniel Paul Kraft | Pediatrics | 8200 So. Jog Rd., #101 Palm Beach Pediatrics, Boynton Beach, FL 33472-2981 | 2005-08-09 |
| 1346243359 | Regine Bataille | Pediatrics | 1260 S Federal Hwy, Ste 202, Boynton Beach, FL 33435-6045 | 2005-05-23 |
| 1679041891 | Shannon Rebecca Segaloff | Pediatrics | 6080 Boynton Beach Blvd Ste 240, Boynton Beach, FL 33437-3586 | 2018-11-06 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33426 |
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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.