Pediatric MDS LLP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME80969 Issued in FL

Legal business name

PEDIATRIC MDS LLP

Practice address

4018 Sheridan St
Hollywood, FL 33021-3536

Phone

(954) 374-8789

Fax

(855) 257-6889

NPI assigned

Aug 14, 2011

Organization subpart

No

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

Authorized official

Name

Darren J Majors

Title

Ceo

Phone

(954) 374-8789

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1313280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313280000000",
    "number": "1093094633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4018 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213536",
            "telephone_number": "954-374-8789",
            "fax_number": "855-257-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4018 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213536",
            "telephone_number": "954-374-8789",
            "fax_number": "855-257-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC MDS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-14",
        "last_updated": "2011-08-14",
        "status": "A",
        "authorized_official_last_name": "MAJORS",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-374-8789"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME80969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2011; 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.