South Florida Pediatric Otolaryngology PA

Primary specialty

Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X

License

ME96535 Issued in FL

Legal business name

SOUTH FLORIDA PEDIATRIC OTOLARYNGOLOGY PA

Practice address

1505 S Andrews Ave
Fort Lauderdale, FL 33316-2507

Phone

(954) 888-8997

Fax

(954) 762-9466

NPI assigned

Jun 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jacob W Zeiders, MDNPI 1356455612

Title

Owner

Phone

(954) 888-8997

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jacob W Zeiders III, MD

  • Pediatric Otolaryngology Physician
  • Fort Lauderdale, FL
  • NPI 1356455612
  NPD (past) Authorized official

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1225323389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 S ANDREWS AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162507",
            "telephone_number": "954-888-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 S ANDREWS AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162507",
            "telephone_number": "954-888-8997",
            "fax_number": "954-762-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA PEDIATRIC OTOLARYNGOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "ZEIDERS",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-888-8997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "FL",
            "license": "ME96535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Florida Medical Centers, Inc (SFMC Group of Oakland Park)
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• South Florida Neurosurgical Institute Inc
• South Florida Occupational Therapy
• South Florida Pediatric Surgeons PA
• South Florida Premiere Cardiology LLC
• South Florida PRS, LLC
• South Florida Psychology PA
• South Florida Spine Clinic Inc

• Pediatric Otolaryngology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Pediatric Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.