Healthexcel Medical Group at Pembroke Pines

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

OS3370 Issued in FL

Legal business name

HEALTHEXCEL MEDICAL GROUP AT PEMBROKE PINES

Practice address

1150 N University Dr
Pembroke Pines, FL 33024-5031

Phone

(954) 432-7860

Fax

(954) 432-2109

NPI assigned

Apr 6, 2007

Last updated

Mar 21, 2011By 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

Richard Collado

Title

President

Phone

(305) 207-1632

Specialties & licenses 1

Addresses

Other names 1

• Healthexcel Medical Group at Pembroke Pines Former legal business name

Practitioners 1

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.

• Larry I Gilderman, D.O.

  • Family Medicine Physician
  • Pembroke Pines, FL
  • NPI 1164485843
  NPD

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1740302983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330245031",
            "telephone_number": "954-432-7860",
            "fax_number": "954-432-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330245031",
            "telephone_number": "954-432-7860",
            "fax_number": "954-432-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHEXCEL MEDICAL GROUP AT PEMBROKE PINES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "COLLADO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-207-1632"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS3370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthexcel Medical Group at Pembroke Pines",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Health and Community Inc
• Health Associates, LLC
• Health Care of South Florida Corp
• Health Diagnostics of Fort Lauderdale, LLC (Stand-Up MRI and 3T Imaging)
• Health Pines, LLC
• Healthy Eye Solutions Inc (Pines Family Eye Care)
• Healthy Living Medical Supply
• Healthy Meds LLC
• Keisa Maria Heard, LPN
• Hearing AIDS of Broward, Inc

• Surgery Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.