Active NPI
Victor Pabon
- Adult Companion
- Davie, FL
National Provider Identifier
1710240833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- LIC232421
- Practice address
- 4828 SW 47 Lane
Davie, FL 33314 - Phone
- (754) 273-1731
- Fax
- (954) 797-3928
- NPI assigned
- Jun 22, 2012
- Last updated
- Jun 22, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | LIC232421 | FL | Primary |
Addresses
Primary practice location
4828 SW 47 Lane
Davie, FL 33314
Mailing address
4611 South University Dr.
Davie
Ft. Lauderdale, FL 33328
Phone (754) 273-1731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LIC232421 | FL | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1710240833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 SOUTH UNIVERSITY DR.",
"address_2": "DAVIE",
"city": "FT. LAUDERDALE",
"state": "FL",
"postal_code": "33328",
"telephone_number": "754-273-1731",
"fax_number": "954-797-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4828 SW 47 LANE",
"city": "DAVIE",
"state": "FL",
"postal_code": "33314",
"telephone_number": "754-273-1731",
"fax_number": "954-797-3928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PABON",
"first_name": "VICTOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-22",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": "LIC232421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.