Active NPI
PM Pediatrics of Florida, LLC
- Urgent Care Clinic/Center
- Plantation, FL
National Provider Identifier
1881563906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- PM PEDIATRICS OF FLORIDA, LLC
- Practice address
- 801 S University Dr Ste D101
Plantation, FL 33324-3366 - Phone
- (954) 902-5437
- NPI assigned
- Nov 5, 2025
- Last updated
- Nov 5, 2025
- 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
- Kristen Hanly
- Title
- Senior Manager of RCM Operations
- Phone
- (516) 207-7919
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
801 S University Dr Ste D101
Plantation, FL 33324-3366
Mailing address
1 Hollow LN
New Hyde Park, NY 11042-1220
Phone (516) 869-0650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109798201 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- PM Pediatrics of Florida LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urgent Care Clinic/Center
- Coral Springs, FL
- NPI 1174125561
-
- Urgent Care Clinic/Center
- Pembroke Pines, FL
- NPI 1891664918
Locations
801 S University Dr
Ste D101
Plantation, FL 33324
Phone (954) 902-5437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1881563906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOLLOW LN",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421220",
"telephone_number": "516-869-0650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S UNIVERSITY DR STE D101",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243366",
"telephone_number": "954-902-5437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PM PEDIATRICS OF FLORIDA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-05",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "HANLY",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "SENIOR MANAGER OF RCM OPERATIONS",
"authorized_official_telephone_number": "516-207-7919"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109798201",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.