Thiago Queiroz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9108907 Issued in FL

Practice address

300 SE 2ND St Ste 600
Fort Lauderdale, FL 33301-1950

Phone

(786) 395-5082

NPI assigned

Sep 6, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neuro Wellness Centers of America, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Coral Springs, FL
  • NPI 1477051498
  Medicare reassignment
• Total Family Health Care Center Inc

  • Community/Behavioral Health Agency
  • Sunrise, FL
  • NPI 1174775662
  NPD (past)

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

{
    "created_epoch": "1441497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1346618477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SE 2ND ST STE 600",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SE 2ND ST STE 600",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011950",
            "telephone_number": "786-395-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEIROZ",
        "first_name": "THIAGO",
        "name_prefix": "Dr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-06",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018798200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quality Pathology Group Inc
• Saulin Elizabeth Quan, DO
• Quantumbio Labs Inc
• Quanyx LLC
• Christopher L Queen, D.O.
• Robert E Quesada, D.M.D.
• Evelyn Quevedo-Enriquez, NP
• Jennifer Quezada
• Quik Clinic Medical Center
• Maria Quiles

• Physician Assistant in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.