Provider Demographics
NPI:1003276874
Name:PABLO ZERQUERA OMD. INC
Entity Type:Organization
Organization Name:PABLO ZERQUERA OMD. INC
Other - Org Name:ZERQUERA INTEGRATIVE MEDICAL INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:
Authorized Official - Last Name:ZERQUERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-224-2921
Mailing Address - Street 1:9220 SW 72ND ST STE 105
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3259
Mailing Address - Country:US
Mailing Address - Phone:305-274-4351
Mailing Address - Fax:305-274-1455
Practice Address - Street 1:9220 SW 72ND ST STE 105
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3259
Practice Address - Country:US
Practice Address - Phone:305-274-4351
Practice Address - Fax:305-274-1455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-07
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT19563225100000X, 225100000X
FLAP3549171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty