Provider Demographics
NPI:1295125052
Name:ZERQUERA, PABLO (AP,OMD)
Entity type:Individual
Prefix:
First Name:PABLO
Middle Name:
Last Name:ZERQUERA
Suffix:
Gender:M
Credentials:AP,OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7700 N KENDALL DR STE 807
Mailing Address - Street 2:
Mailing Address - City:KENDALL
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7697
Mailing Address - Country:US
Mailing Address - Phone:305-274-4351
Mailing Address - Fax:305-274-1455
Practice Address - Street 1:7700 N KENDALL DR STE 807
Practice Address - Street 2:
Practice Address - City:KENDALL
Practice Address - State:FL
Practice Address - Zip Code:33156-7697
Practice Address - Country:US
Practice Address - Phone:305-274-4351
Practice Address - Fax:305-274-1455
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-02
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3549171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL171100000XOtherACUPUNCTURIST