NPIMap

Organization Active NPI

Dermatopathology Laboratory Pascual Abenoza MD LLC

  • Clinical Medical Laboratory
  • Coral Springs, FL
National Provider Identifier
1760761985
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Authorized official

Name
Pascual Abenoza, MDNPI 1194709717
Title
Manager
Phone
(954) 263-6428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X L11000074571 FL Primary

Addresses

Primary practice location

3940 Coral Ridge Dr
Coral Springs, FL 33065-7613

Mailing address

3940 Coral Ridge Dr
Coral Springs, FL 33065-7613
Phone (954) 263-6428

National Provider Directory

National Provider Directory

Locations

3940 Coral Ridge Dr
Coral Springs, FL 33065
Phone (954) 263-6428

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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": []
}

Other providers in Coral Springs, FL

Sources for this page

  • 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.