Pride Care Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PRIDE CARE CENTER INC

Practice address

10875 Overseas Hwy Ste 110
Marathon, FL 33050-3454

Phone

(305) 743-8130

Fax

(305) 743-8140

NPI assigned

Oct 17, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Aida Cardenas

Title

Vice President

Phone

(305) 743-8130

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zivko Z Gajic, MD

  • Family Medicine Physician
  • Key West, FL
  • NPI 1720154172
  NPD (past)
• Shuilin Ngan Klingbeil, ARNP

  • Family Medicine Physician
  • Key West, FL
  • NPI 1922049220
  NPD (past)
• Jaynier Moya, MD

  • Internal Medicine Physician
  • Pembroke Pines, FL
  • NPI 1124288980
  NPD (past)

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1093967341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10875 OVERSEAS HWY STE 110",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503454",
            "telephone_number": "305-743-8130",
            "fax_number": "305-743-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10875 OVERSEAS HWY STE 110",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503454",
            "telephone_number": "305-743-8130",
            "fax_number": "305-743-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "CARDENAS",
        "authorized_official_first_name": "AIDA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-743-8130",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000412600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "0006D",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCC LICENSE",
            "identifier": "8363",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Phillips, RN
• Lisa Poos
• Lacreashia Pope
• Nastassia Nasha Postell, ARNP FNP-BC PMHNP-BC
• Preventive Dentistry for Children PA
• Robert Prosser
• Publix Super Markets Inc
• Qi by the Sea, Inc.
• Monica Quinn, R.N.
• Gloria Ramirez, RN

• Clinic/Center in Marathon, FL
• Providers in Marathon, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.