Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Florida Pediatric Otolaryngology PA

Organization Pediatric Otolaryngology Physician · NPI 1225323389

South Florida Pediatric Otolaryngology PA is a Pediatric Otolaryngology Physician 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
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