Pediatric Endocrine & Diabetes Specailists, PA

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

ME0056044 Issued in FL

Legal business name

PEDIATRIC ENDOCRINE & DIABETES SPECAILISTS, PA

Practice address

3400 Burns Rd
Suite 200
Palm Beach Gardens, FL 33410-4325

Phone

(561) 624-1985

Fax

(561) 624-7255

NPI assigned

Apr 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mary A. Vaccarello-Cruz, M.D.

Title

President

Phone

(561) 624-1985

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558324848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 BURNS RD",
            "address_2": "SUITE 200",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104325",
            "telephone_number": "561-624-1985",
            "fax_number": "561-624-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BURNS RD",
            "address_2": "SUITE 200",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104325",
            "telephone_number": "561-624-1985",
            "fax_number": "561-624-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ENDOCRINE & DIABETES SPECAILISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VACCARELLO-CRUZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-624-1985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "FL",
            "license": "ME0056044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Peart
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• Pediatric Dermatology of the Palm Beaches (Manju Elizabeth George MD PLLC)
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• Pediatrix Medical Group of Florida Inc
• Jamie Denise Peers, ATC
• Mikenia Pelegrin

• Pediatric Endocrinology Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Pediatric Endocrinology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.