OrganizationActive
Childrens Medical Association PA
NPI 1164095030 · Pediatrics Physician · Coral Springs, FL
Provider details
- NPI number
- 1164095030
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Children'S Medical Association, PA
- Organization subpart
- Yes
- Authorized official
- Lakesha Shah, Office Manager(954) 722-0300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5697 Coral Ridge Dr
Coral Springs, FL 33076-3160
Phone: (954) 580-4800
Fax: (954) 510-4800
Street-level locationGet directions
Mailing address
8430 W Broward Blvd Ste 300
Plantation, FL 33324-2700
Registry dates
- Enumerated
- 2021-07-20
- Last updated
- 2021-07-20
- Certified
- 2021-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.