PEDIATRICS PA NPI 1053472019

NPI Information

NPI: 1053472019
Provider Name: PEDIATRICS PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2272858

Address:
3220 S DOUGLAS RD STE B
MIRAMAR, FL
ZIP 33025
Phone: (954) 436-8444
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PEDIATRICS PA is a primary care clinic center in Miramar, FL. PEDIATRICS PA NPI is 1053472019. The provider is registered as an organization entity type.

The provider's business location address is:

3220 S DOUGLAS RD STE B
MIRAMAR, FL
ZIP 33025-734
Phone: (954) 436-8444
Fax: (954) 436-1159

The provider's authorized official is Rufus Joseph .
The authorized official title is President and has the following contact phone number (954) 436-8444.

The CLIA number assigned to this NPI record is 10D2272858 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	ME52086	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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