Organization
PRIME PEDIATRIC ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIBANNI VASQUEZ M.D. (MGRM)
(305) 972-1073
Entity
Organization
Contact information
Practice address
100 E SAMPLE RD, STE 120, POMPANO BEACH, FL 33064-3554
(954) 941-2021
(954) 941-2071
Mailing address
100 E SAMPLE RD, STE 120, POMPANO BEACH, FL 33064-3554
(954) 941-2021
(954) 941-2071
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME109534
FL
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up