Organization
EZ-PEDIATRICS
Active
Organization
EZ-PEDIATRICS
Active
Other names
EZPeDs, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO DONALD ZAMBRANO MD (ATTENDING PHYSICIAN/CEO)
(954) 431-8558
Entity
Organization
Contact information
Practice address
10794 PINES BLVD, STE 102, PEMBROKE PINES, FL 33026-3920
(954) 431-8558
(954) 431-3867
Mailing address
10794 PINES BLVD, STE 102, PEMBROKE PINES, FL 33026-3920
(954) 431-8558
(954) 431-3867
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME068860
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336539303
GROUP NPI
FL
01
—
1508815531
NPI
FL
01
—
1750832366
NPI
FL
05
—
378700100
—
FL
01
—
G151181
UPIN
FL
Enumeration date
01/29/2015
Last updated
10/20/2016
Update your record
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