| Stacy Zide, MD | |
|
1610 Ne Miami Gardens Dr, North Miami Beach, FL 33179-4900 | |
| (305) 940-6001 | |
| (305) 940-6016 |
| Full Name | Stacy Zide |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1610 Ne Miami Gardens Dr, North Miami Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144219304 | NPI | - | NPPES |
| 270646600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME88087 (Florida) | Primary |
| Entity Name | University Of Miami |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013967827 PECOS PAC ID: 3274795109 Enrollment ID: O20200406001006 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Zide, MD 900 S Pine Island Rd, Suite 800, Plantation, FL 33324-3920 Ph: (305) 940-6016 | Stacy Zide, MD 1610 Ne Miami Gardens Dr, North Miami Beach, FL 33179-4900 Ph: (305) 940-6001 |
Rachel Manalo, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1610 Ne Miami Gardens Dr, North Miami Beach, FL 33179 Phone: 305-940-6016 Fax: 305-940-6167 | |
Dr. Pablo Antonio Berrios, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 160 Nw 170th St, North Miami Beach, FL 33169 Phone: 305-651-1100 | |
Kathleen Marie Gatto, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1610 Ne Miami Gardens Dr, North Miami Beach, FL 33179 Phone: 305-940-6016 Fax: 954-940-4900 | |
Dr. Zach Zarir Abuwalla, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1610 Ne Miami Gardens Dr, North Miami Beach, FL 33179 Phone: 305-940-6016 | |
Dr. Olakunle Temitope Olagbemi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1990 Ne 163rd St, Ste 101, North Miami Beach, FL 33162 Phone: 305-949-1275 Fax: 305-949-1273 | |
Pankaj B. Agrawal, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 160 Nw 170th St, North Miami Beach, FL 33169 Phone: 617-919-2153 |