Active NPI
Lescobar PA
- Specialist
- Hollywood, FL
National Provider Identifier
1023285152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME58000
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5059181 | Other | FL | AETNA |
| 12692 | Other | FL | BCBS |
| 3481ASOS | Other | FL | NHP |
Other names 1
- PAIN CARE SPECIALIST OF FLORIDA
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgical Physician Assistant
- Bangor, ME
- NPI 1093982829
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.