E.B.D.B Corp

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT10375 Issued in FL

Legal business name

E.B.D.B CORP

Practice address

7815 SW 24TH St
Suite 109
Miami, FL 33155-6541

Phone

(305) 261-5664

Fax

(305) 261-5669

NPI assigned

Feb 8, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Dianelys Perez-Bermudez, OTR/LNPI 1114040722

Title

Owner

Phone

(305) 300-1259

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Dianelys Perez-Bermudez, OTR

  • Occupational Therapist
  • Miami, FL
  • NPI 1114040722
  NPD (past) Authorized official
• Wendy Badillo, MS, CCC-SLP

  • Speech-Language Pathologist
  • Miami, FL
  • NPI 1801910260
  NPD (past)
• Coral Du Quesne, MS, CCC-SLP

  • Speech-Language Pathologist
  • Miami, FL
  • NPI 1982728341
  NPD (past)

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1659559987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 NW 186TH ST",
            "address_2": "201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153255",
            "telephone_number": "305-300-1259",
            "fax_number": "305-261-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 SW 24TH ST",
            "address_2": "SUITE 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556541",
            "telephone_number": "305-261-5664",
            "fax_number": "305-261-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.B.D.B CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "PEREZ-BERMUDEZ",
        "authorized_official_first_name": "DIANELYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-300-1259",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT10375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.