Organization Active NPI

South Florida Pediatric Surgeons PA

  • Pediatric Surgery Physician
  • Fort Lauderdale, FL
National Provider Identifier
1962512061
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
Legal business name
SOUTH FLORIDA PEDIATRIC SURGEONS PA
Practice address
300 N.W. 70TH Avenue
Suite 202
Ft. Lauderdale, FL 33317-2384
Phone
(954) 584-8500
Fax
(954) 792-0192
NPI assigned
Aug 30, 2006
Last updated
Feb 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Authorized official

Name
Mrs. Nikki Jo Lewark
Title
Practice Administrator
Phone
(954) 584-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X Primary

Addresses

Primary practice location

300 N.W. 70TH Avenue
Suite 202
Ft. Lauderdale, FL 33317-2384

Mailing address

300 N.W. 70TH Avenue
Suite 202
Ft. Lauderdale, FL 33317-2384
Phone (954) 584-8500

National Provider Directory

National Provider Directory

Locations

3001 Coral Hills Dr
Ste 150
Coral Springs, FL 33065
Phone (954) 840-2233

12957 Palms West Dr
Bldg 9
Loxahatchee, FL 33470

300 NW 70th Ave
Ste 202
Plantation, FL 33317
Phone (954) 584-8500

Practitioners & affiliated clinicians

Practitioners 5

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1962512061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N.W. 70TH AVENUE",
            "address_2": "SUITE 202",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "333172384",
            "telephone_number": "954-584-8500",
            "fax_number": "954-792-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N.W. 70TH AVENUE",
            "address_2": "SUITE 202",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "333172384",
            "telephone_number": "954-584-8500",
            "fax_number": "954-792-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA PEDIATRIC SURGEONS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "LEWARK",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "954-584-8500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.