Ep Physician Services, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME006389 Issued in FL

Legal business name

EP PHYSICIAN SERVICES, INC.

Practice address

7761 NW 146TH St
Miami Lakes, FL 33016-1559

Phone

(305) 822-1243

Fax

(305) 822-4260

NPI assigned

Jul 22, 2014

Organization subpart

No

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

Authorized official

Name

Eric O Pantaleon, M.D.

Title

Owner

Phone

(305) 822-1243

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1215344221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7761 NW 146TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161559",
            "telephone_number": "305-822-1243",
            "fax_number": "305-822-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7761 NW 146TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161559",
            "telephone_number": "305-822-1243",
            "fax_number": "305-822-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EP PHYSICIAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "PANTALEON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-822-1243",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME006389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.