Atlantic Pediatric Partners LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME68714 Issued in FL

Legal business name

ATLANTIC PEDIATRIC PARTNERS LLC

Doing business as

South Florida Pediatric Partners

Practice address

14400 NW 77TH CT
Suite 102
Miami Lakes, FL 33016-1590

Phone

(305) 823-7768

Fax

(305) 823-2211

NPI assigned

Sep 15, 2011

Organization subpart

No

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

Authorized official

Name

Paul J. Goldberg, M.D.

Title

Ceo

Phone

(954) 435-7400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• South Florida Pediatric Partners Doing business as

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1942582812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SW 87TH AVE",
            "address_2": "SUITE C-350",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732539",
            "telephone_number": "954-731-9676",
            "fax_number": "954-731-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 NW 77TH CT",
            "address_2": "SUITE 102",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161590",
            "telephone_number": "305-823-7768",
            "fax_number": "305-823-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC PEDIATRIC PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-435-7400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME68714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259723306",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Florida Pediatric Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Florida Pediatric Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatrics Physician in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.