NPIMap

Organization Active NPI

Pediatric Pulmonary and Allergy Assoc.

  • Specialist
  • Pembroke Pines, FL
National Provider Identifier
1205043494
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OC0106391 Issued in FL
Legal business name
PEDIATRIC PULMONARY AND ALLERGY ASSOC.
Practice address
1 SW 129TH Ave Ste 308
Pembroke Pines, FL 33027-1706
Phone
(954) 589-0805
Fax
(954) 668-2205
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Authorized official

Name
Barbara E Perez
Title
Administrator
Phone
(954) 589-0805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X OC0106391 FL Primary

Addresses

Primary practice location

1 SW 129TH Ave Ste 308
Pembroke Pines, FL 33027-1706

Mailing address

1 SW 129TH Ave Ste 308
Pembroke Pines, FL 33027-1706
Phone (954) 589-0805

National Provider Directory

National Provider Directory

Locations

9291 Glades Rd
Ste 302
Boca Raton, FL 33434

1 SW 129th Ave
Ste 308
Pembroke Pines, FL 33027
Phone (954) 384-0087

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1205043494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SW 129TH AVE STE 308",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271706",
            "telephone_number": "954-589-0805",
            "fax_number": "954-668-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SW 129TH AVE STE 308",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271706",
            "telephone_number": "954-589-0805",
            "fax_number": "954-668-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PULMONARY AND ALLERGY ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-589-0805"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "OC0106391",
            "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 Oct 18, 2018; 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.