EZ-PEDIATRICS (NPI# 1336539303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336539303 |
| Entity Type | Organization |
| Organization Name | EZ-PEDIATRICS |
| Other Organization Name | EZPEDS, PA |
| Practice Address |
10794 Pines Blvd Ste 102 Pembroke Pines FL 33026-3920 |
| Practice Telephone | 9544318558 |
| Practice Fax Number | 9544313867 |
| Mailing Telephone | 9544318558 |
| Mailing Fax Number | 9544313867 |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2016-10-20 |
| Authorized Official Name | DR. MARIO DONALD ZAMBRANO (ATTENDING PHYSICIAN/CEO) |
| Authorized Official Telephone | 9544318558 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | ME068860 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | UPIN | G151181 | 01 |
| FL | 378700100 | 05 | |
| FL | NPI | 1750832366 | 01 |
| FL | GROUP NPI | 1336539303 | 01 |
| FL | NPI | 1508815531 | 01 |
| Other Name | Type Code |
|---|---|
| EZPeDs, PA | Former Legal Business Name - Organization |
| Street Address |
10794 PINES BLVD STE 102 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026-3920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548293053 | Marisol Martinez | Physical Therapist | 10794 Pines Blvd, Suite104, Pembroke Pines, FL 33026-3920 | 2006-07-08 |
| 1891298832 | Nieves-nieves, Pulmonary, Md, LLC | Clinic/Center | 10794 Pines Blvd, Pembroke Pines, FL 33026-3920 | 2018-03-15 |
| 1770944787 | Tony Butkevich | Physical Therapy Assistant | 10794 Pines Blvd, Suite 104, Pembroke Pines, FL 33026-3920 | 2016-03-18 |
| 1538550280 | Yemane B Bahta Md,pa | Internal Medicine | 10794 Pines Blvd, 203, Pembroke Pines, FL 33026-3920 | 2015-02-16 |
| 1922497577 | Karen Carmona | Clinic/Center | 10794 Pines Blvd, Pembroke Pines, FL 33026-3920 | 2015-01-20 |
| 1740614163 | Luisa M Garcia | Dentist | 10794 Pines Blvd, Suite 101, Pembroke Pines, FL 33026-3920 | 2013-08-22 |
| 1821430190 | Andre Mercado | Physical Therapy Assistant | 10794 Pines Blvd, Pembroke Pines, FL 33026-3920 | 2013-07-26 |
| 1639441629 | Erika P Serrano | Massage Therapist | 10794 Pines Blvd, Suite 104, Pembroke Pines, FL 33026-3920 | 2012-02-06 |
| 1457623555 | Simone Maria Burgos-juteram | Nurse Practitioner | 10794 Pines Blvd, Boulevard Proffessional Centre, Pembroke Pines, FL 33026-3920 | 2012-02-03 |
| 1861708570 | Total Orthopaedic Care, P.a. | Specialist | 10794 Pines Blvd, Suite 104, Pembroke Pines, FL 33026-3920 | 2010-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992329320 | Visiting Health Services of South Florida | Clinic/Center | 1190 Nw 166th Ave, Pembroke Pines, FL 33028-1341 | 2020-06-01 |
| 1194369637 | Speech Therapy In Early Age, Inc | Clinic/Center | 1611 Nw 89th Ave, Pembroke Pines, FL 33024-4753 | 2019-10-28 |
| 1255708400 | Centro De Consejeria Palabra De Sabiduria, Inc | Clinic/Center | 19620 Pines Boulvd, Suite 217-11, Pembroke Pines, FL 33029 | 2015-08-24 |
| 1083093439 | Triton Medical Center Inc | Clinic/Center | 1114 N University Dr, Pembroke Pines, FL 33024-5031 | 2015-05-19 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1871819821 | Acupuncture and Herb Solutions | Clinic/Center | 500 N Hiatus Rd Ste 105, Pembroke Pines, FL 33026-5213 | 2010-04-15 |
| 1265662498 | Wellmax Health Medical Centers, LLC | Clinic/Center | 1500 South Hiatus Road (1-9), Pembroke Pines, FL 33025 | 2009-07-22 |
| 1912911819 | Pan Am Diagnostic Services, Inc. | Clinic/Center | 1820 N University Dr, Pembroke Pines, FL 33024-3604 | 2006-07-28 |
| 1215959184 | Universal Kidney Center of Pembroke Pines-miramar LLC | Clinic/Center | 18004 Nw 6th St Ste 101, Pembroke Pines, FL 33029-2823 | 2006-07-23 |
| 1376161455 | Total Healthcare Clinic LLC | Clinic/Center | 3157 N University Dr Ste 107, Pembroke Pines, FL 33024-2258 | 2020-07-06 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
Please comment or provide details below to improve the information on EZ-PEDIATRICS.
| 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.