Organization Active NPI

Lescobar PA

  • Specialist
  • Hollywood, FL
National Provider Identifier
1023285152
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME58000 Issued in FL
Legal business name
LESCOBAR PA
Practice address
4440 Sheridan St
Hollywood, FL 33021-3535
Phone
(954) 322-8586
Fax
(954) 322-8581
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Luis Alcides Escobar, M.D.NPI 1831185602
Title
President
Phone
(954) 322-8586

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME58000 FL Primary

Addresses

Primary practice location

4440 Sheridan St
Hollywood, FL 33021-3535

Mailing address

3510 NE 23Rd Ave
Lighthouse Point, FL 33064-8129
Phone (954) 322-8586

Other identifiers 3

IdentifierTypeStateIssuer
5059181OtherFLAETNA
12692OtherFLBCBS
3481ASOSOtherFLNHP

Other names 1

  • PAIN CARE SPECIALIST OF FLORIDA Doing business as

National Provider Directory

National Provider Directory

Locations

3600 Washington St
#321
Hollywood, FL 33021
Phone (954) 322-8586

3600 Washington St
Ste 321
Hollywood, FL 33021
Phone (954) 322-8586

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1023285152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 NE 23RD AVE",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330648129",
            "telephone_number": "954-322-8586",
            "fax_number": "954-322-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213535",
            "telephone_number": "954-322-8586",
            "fax_number": "954-322-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESCOBAR PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ALCIDES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-322-8586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME58000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5059181",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12692",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "3481ASOS",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAIN CARE SPECIALIST OF FLORIDA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.