Ezem Anesthesia LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

EZEM ANESTHESIA LLC

Practice address

4475 SW 179TH Way
Miramar, FL 33029-6305

Phone

(786) 295-1401

NPI assigned

Jun 22, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Ezem, APRN

Title

Authorized Official

Phone

(786) 295-1401

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1104442664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 SW 179TH WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330296305",
            "telephone_number": "786-295-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 SW 179TH WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330296305",
            "telephone_number": "786-295-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZEM ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "EZEM",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "786-295-1401",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "APRN9169221",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Miramar, FL
• Providers in Miramar, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.