Healthcare Provider Details

I. General information

NPI: 1639703903
Provider Name (Legal Business Name): PAM AND ASSOCIATES LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2020
Last Update Date: 06/20/2022
Certification Date: 06/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1931 NW 150TH AVE STE 208
PEMBROKE PINES FL
33028-2879
US

IV. Provider business mailing address

1931 NW 150TH AVE STE 208
PEMBROKE PINES FL
33028-2879
US

V. Phone/Fax

Practice location:
  • Phone: 954-612-2555
  • Fax:
Mailing address:
  • Phone: 954-961-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MARIE-ANDREE P FRANCOIS
Title or Position: REGISTERED DIETITIAN NUTRITIONIST
Credential: RDN LDN
Phone: 954-961-5700