Panda Kitchen Cabinets and Vanities

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

07000396 Issued in FL

Legal business name

PANDA KITCHEN CABINETS AND VANITIES

Practice address

6412 Pembroke Rd
Miramar, FL 33023-2138

Phone

(954) 322-9089

Fax

(954) 322-9088

NPI assigned

Oct 19, 2012

Organization subpart

No

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

Authorized official

Name

Mr. David Ismael Arias

Title

Vice President

Phone

(954) 322-9089

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1104179761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 PEMBROKE RD",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330232138",
            "telephone_number": "954-322-9089",
            "fax_number": "954-322-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 PEMBROKE RD",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330232138",
            "telephone_number": "954-322-9089",
            "fax_number": "954-322-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANDA KITCHEN CABINETS AND VANITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "ARIAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ISMAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-322-9089",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "07000396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Miramar, FL
• Providers in Miramar, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.