Medical Associates Network, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

ME63889 Issued in FL

Legal business name

MEDICAL ASSOCIATES NETWORK, LLC

Practice address

3500 Hollywood Blvd Ste C3500
Hollywood, FL 33021-6809

Phone

(954) 239-8167

Fax

(954) 289-5948

NPI assigned

Oct 3, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Eric O Pantaleon, M.D

Title

President

Phone

(954) 239-8167

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1306356472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 HOLLYWOOD BLVD STE C3500",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216809",
            "telephone_number": "954-239-8167",
            "fax_number": "954-289-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 HOLLYWOOD BLVD STE C3500",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216809",
            "telephone_number": "954-239-8167",
            "fax_number": "954-289-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "PANTALEON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-239-8167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "ME63889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.