Pelican Palace, LLC

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

PELICAN PALACE, LLC

Practice address

12335 NW 51St St
Coral Springs, FL 33076-3446

Phone

(954) 709-6545

Fax

(954) 369-4742

NPI assigned

Dec 13, 2015

Last updated

Dec 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vinette Alexander, DNPNPI 1326343575

Title

Administrator

Phone

(954) 709-6545

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Vinette Alexander, ARNP

  • General Practice Registered Nurse
  • Coral Springs, FL
  • NPI 1326343575
  Authorized official Same address or phone

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

{
    "created_epoch": "1449964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449964800000",
    "number": "1548635790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12335 NW 51ST ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763446",
            "telephone_number": "954-709-6545",
            "fax_number": "954-369-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12335 NW 51ST ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763446",
            "telephone_number": "954-709-6545",
            "fax_number": "954-369-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN PALACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-13",
        "last_updated": "2015-12-13",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "VINETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-709-6545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FL",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peditherapy Inc
• Dolly Pedrique
• Henry Jose Pedrique, MBA
• Peishwoos Inc
• Mariana Isabel Pelaez Cardozo, ARNP
• Ely D Pelta, M.D.
• Holly Pelz
• Danielys Pena Chang
• Ambar Pena
• Blessie Guzman Pena, RPT

• Child Intellectual and/or Developmental Disabilities Respite Care in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2015; 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.