Emad Ekladios M D P a

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME0064340 Issued in FL

Legal business name

EMAD EKLADIOS M D P A

Practice address

2231 N University Dr
Suite C
Pembroke Pines, FL 33024-3611

Phone

(954) 963-2555

Fax

(954) 963-2288

NPI assigned

Jun 3, 2008

Organization subpart

No

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

Authorized official

Name

Emad Ezra Ekladios, M D

Title

President

Phone

(954) 963-2555

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1063671246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848488",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330840488",
            "telephone_number": "954-963-2555",
            "fax_number": "954-963-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 N UNIVERSITY DR",
            "address_2": "SUITE C",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243611",
            "telephone_number": "954-963-2555",
            "fax_number": "954-963-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMAD EKLADIOS M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "EKLADIOS",
        "authorized_official_first_name": "EMAD",
        "authorized_official_middle_name": "EZRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-963-2555",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME0064340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375033700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.