Organization Active NPI

Jeanne-Elyse Cedeno M.D., P.a.

Doing business as The Family Docs

  • Family Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1235423120
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 106978 Issued in FL
Legal business name
JEANNE-ELYSE CEDENO M.D., P.A.
Doing business as
The Family Docs
Practice address
10041 Pines Blvd Ste a
Pembroke Pines, FL 33024-6170
Phone
(754) 273-6278
Fax
(954) 374-6954
NPI assigned
Jun 8, 2011
Last updated
Jun 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Dr. Jeanne-Elyse Gray Cedeno, MDNPI 1184867202
Title
Owner, Physician
Phone
(754) 273-6278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME 106978 FL Primary

Addresses

Primary practice location

10041 Pines Blvd Ste a
Pembroke Pines, FL 33024-6170

Mailing address

10041 Pines Blvd Ste a
Pembroke Pines, FL 33024-6170
Phone (754) 273-6278

Other names 1

  • The Family Docs Doing business as

National Provider Directory

National Provider Directory

Locations

10041 Pines Blvd
Ste A
Pembroke Pines, FL 33024
Phone (954) 328-3768

1601 N Palm Ave
Ste 102B
Pembroke Pines, FL 33026
Phone (754) 273-6278

Practitioners & affiliated clinicians

Practitioners 1

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": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1235423120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10041 PINES BLVD STE A",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246170",
            "telephone_number": "754-273-6278",
            "fax_number": "954-374-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10041 PINES BLVD STE A",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246170",
            "telephone_number": "754-273-6278",
            "fax_number": "954-374-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNE-ELYSE CEDENO M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "CEDENO",
        "authorized_official_first_name": "JEANNE-ELYSE",
        "authorized_official_middle_name": "GRAY",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "754-273-6278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 106978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Family Docs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 21, 2023; 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.