Dermatopathology Laboratory Pascual Abenoza MD LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

L11000074571 Issued in FL

Legal business name

DERMATOPATHOLOGY LABORATORY PASCUAL ABENOZA MD LLC

Practice address

3940 Coral Ridge Dr
Coral Springs, FL 33065-7613

Phone

(954) 263-6428

NPI assigned

Aug 4, 2011

Organization subpart

No

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

Authorized official

Name

Pascual Abenoza, MD

Title

Manager

Phone

(954) 263-6428

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1760761985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 CORAL RIDGE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330657613",
            "telephone_number": "954-263-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 CORAL RIDGE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330657613",
            "telephone_number": "954-263-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOPATHOLOGY LABORATORY PASCUAL ABENOZA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "ABENOZA",
        "authorized_official_first_name": "PASCUAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-263-6428",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "L11000074571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dentistart Group
• Dentistry of Coral Springs, Inc.
• Desmond Depass, L.M.T.
• Dependable Senior Care LLC
• Dermatology Consultants of S FL PA
• Astride Desario, APRN
• Shenida Desir
• Alison Clarke Desouza, MD
• Jessica Desouza, DPT
• Kennya Monique Despuzeau

• Clinical Medical Laboratory in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.