Pediatric Development Group

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PEDIATRIC DEVELOPMENT GROUP

Practice address

9095 SW 87TH Ave
Suite 501
Miami, FL 33176-2310

Phone

(305) 274-9966

Fax

(305) 274-5007

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By 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

Gyasi Azpeitia, OTR/L

Title

Administrative Director

Phone

(305) 274-9966

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578675849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9095 SW 87TH AVE",
            "address_2": "SUITE 501",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762310",
            "telephone_number": "305-274-9966",
            "fax_number": "305-274-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9095 SW 87TH AVE",
            "address_2": "SUITE 501",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762310",
            "telephone_number": "305-274-9966",
            "fax_number": "305-274-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DEVELOPMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AZPEITIA",
        "authorized_official_first_name": "GYASI",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "305-274-9966",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Miami, FL
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• 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.