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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
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