Individual provider Active NPI

Cecil Efraim Pardave, DC

  • Chiropractor
  • Pembroke Pines, FL
National Provider Identifier
1134858863
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12592 Issued in FL
Practice address
1840 NW 122ND Ter
Pembroke Pines, FL 33026-1966
Phone
(954) 443-6600
Fax
(954) 436-3500
NPI assigned
Jun 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12592 FL Primary

Addresses

Primary practice location

1840 NW 122ND Ter
Pembroke Pines, FL 33026-1966

Mailing address

9800 Sheridan St Apt 104
Pembroke Pines, FL 33024-3072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221119000011 FL Practitioner - Chiropractic 6507234713 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12592FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Integrative Care CurrentSince Dec 28, 2025 Accepting new patients
Integrated Medical Centers Inc. Chiropractor CurrentSince Jul 9, 2025 Accepting new patients
Optimal Salud, LLC Chiropractor CurrentSince Mar 10, 2025 Accepting new patients
Quantum Chiropractic Pembroke Pines LLC Chiropractor CurrentSince Dec 28, 2025 Accepting new patients

Locations

10650 W State Road 84
Ste 210
Davie, FL 33324
Phone (954) 719-4784

7100 W 20th Ave
Ste 706
Miami Lakes, FL 33016
Phone (305) 821-6112

1840 NW 122nd Ter
Pembroke Pines, FL 33026
Phone (954) 440-7895

1261 S Pine Island Rd
Plantation, FL 33324
Phone (954) 370-1900

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1134858863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 SHERIDAN ST APT 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 NW 122ND TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330261966",
            "telephone_number": "954-443-6600",
            "fax_number": "954-436-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDAVE",
        "first_name": "CECIL",
        "middle_name": "EFRAIM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-08",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "12592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.