Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

South Florida Pediatric Otolaryngology PA

Organization Pediatric Otolaryngology Physician · NPI 1225323389

South Florida Pediatric Otolaryngology PA provides Pediatric Otolaryngology Physician services in Fort Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1505 S Andrews Ave
Fort Lauderdale, FL 33316-2507 Not confirmed with CMS for 10 years — call before visiting
Phone: (954) 888-8997
Fax: (954) 762-9466
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Otolaryngology Physician (primary) Taxonomy 207YP0228X · Licence ME96535 (FL)

Record details

NPI number1225323389
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Zeiders — Owner · (954) 888-8997
NPI enumeratedJune 16, 2011
Last updated in NPPESJune 9, 2016
Mailing address1505 S Andrews Ave, Fort Lauderdale, FL 33316-2507