Active NPI
Royal Palm Kids Care
- Pediatrics Physician
- Margate, FL
National Provider Identifier
1699984831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0058463
- Legal business name
- ROYAL PALM KIDS CARE
- Practice address
- 2825 N State Road 7
Suite #305
Margate, FL 33063-5737 - Phone
- (954) 752-8700
- Fax
- (954) 752-0509
- NPI assigned
- May 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dagoberto J Rodriguez, M.D.
- Title
- President
- Phone
- (954) 752-8700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0058463 | FL | Primary |
Addresses
Primary practice location
2825 N State Road 7
Suite #305
Margate, FL 33063-5737
Mailing address
2825 N State Road 7
Suite #305
Margate, FL 33063-5737
Phone (954) 752-8700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME0058463 | Other | FL | LICENSE# |
| 265743100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1699984831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 N STATE ROAD 7",
"address_2": "SUITE #305",
"city": "MARGATE",
"state": "FL",
"postal_code": "330635737",
"telephone_number": "954-752-8700",
"fax_number": "954-752-0509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 N STATE ROAD 7",
"address_2": "SUITE #305",
"city": "MARGATE",
"state": "FL",
"postal_code": "330635737",
"telephone_number": "954-752-8700",
"fax_number": "954-752-0509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROYAL PALM KIDS CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "DAGOBERTO",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-752-8700",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0058463",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "ME0058463",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265743100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Margate, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.