Provider Demographics
NPI:1962770800
Name:DAVID Z PFEFFER LLC
Entity type:Organization
Organization Name:DAVID Z PFEFFER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:Z
Authorized Official - Last Name:PFEFFER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:954-990-9262
Mailing Address - Street 1:4061 CARAMBOLA CIR N
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33066-2406
Mailing Address - Country:US
Mailing Address - Phone:954-235-1200
Mailing Address - Fax:
Practice Address - Street 1:5100 W COPANS RD
Practice Address - Street 2:SUITE 1000
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-7747
Practice Address - Country:US
Practice Address - Phone:954-990-9262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-07
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW106421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty