Pegasus Medical & Rehab Center Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PEGASUS MEDICAL & REHAB CENTER INC

Practice address

7763 Miramar Pkwy
Miramar, FL 33023-5848

Phone

(954) 604-2572

Fax

(954) 212-5918

NPI assigned

Jun 2, 2015

Organization subpart

No

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

Authorized official

Name

Herman F Colman

Title

President

Phone

(954) 604-2572

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1043690456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7763 MIRAMAR PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330235848",
            "telephone_number": "954-604-2572",
            "fax_number": "954-212-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7763 MIRAMAR PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330235848",
            "telephone_number": "954-604-2572",
            "fax_number": "954-212-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS MEDICAL & REHAB CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "COLMAN",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-604-2572"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatrix Medical Group of Florida, Inc
• Pediatrix Medical Group of Florida, Inc
• Jacqueline Olivia Pedraza, RBT
• Barbara Pedroso Montesino, BCBA
• Monica A. Peeler, MD
• Julio G Peguero Moreno, MD
• Inalvis Pena Martinez
• Dayamis Penalver, APRN
• Claudia Penate Cabrera
• Jennifer T Penichet, ARNP

• General Practice Physician in Miramar, FL
• Providers in Miramar, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.