Augustine Adiboshi MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME113097 Issued in FL

Legal business name

AUGUSTINE ADIBOSHI MD PA

Practice address

1824 N University Dr
Pembroke Pines, FL 33024-3604

Phone

(954) 432-8831

Fax

(954) 432-8832

NPI assigned

Nov 17, 2014

Last updated

Feb 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Augustine Adiboshi, MD

Title

Owner

Phone

(954) 432-8831

Specialties & licenses 1

Addresses

Other names 1

• PDJ MEDICAL GROUP Other name

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1063818292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243604",
            "telephone_number": "954-432-8831",
            "fax_number": "954-432-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243604",
            "telephone_number": "954-432-8831",
            "fax_number": "954-432-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTINE ADIBOSHI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "ADIBOSHI",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-432-8831",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME113097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PDJ MEDICAL GROUP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychiatry Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.