Pediatric & Family Urgent Care CTRS of So. Fla Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PEDIATRIC & FAMILY URGENT CARE CTRS OF SO. FLA INC.

Practice address

705 E 26TH St
Hialeah, FL 33013-3823

Phone

(305) 835-1551

Fax

(305) 835-7414

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edgardo Bayardo Penabad Jr., M.D.NPI 1063512960

Title

President

Phone

(305) 835-1551

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Edgardo B. Penabad, MD

  • General Practice Physician
  • Hialeah, FL
  • NPI 1063512960
  NPD Authorized official
• Teresita Fox, M.D.

  • Pediatrics Physician
  • Miami, FL
  • NPI 1003974056
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124156641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143937",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331143937",
            "telephone_number": "305-835-1551",
            "fax_number": "305-835-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E 26TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133823",
            "telephone_number": "305-835-1551",
            "fax_number": "305-835-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC & FAMILY URGENT CARE CTRS OF SO. FLA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENABAD",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_middle_name": "BAYARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-835-1551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Providers of S Florida

• Urgent Care Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Urgent Care Clinic/Center in Florida

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