ONE SOURCE PEDIATRICS P.A NPI 1346266962

NPI Information

ONE SOURCE PEDIATRICS P.A is a primary care clinic center in Weston, FL. ONE SOURCE PEDIATRICS P.A NPI is 1346266962. The provider is registered as an organization entity type.

The provider's business location address is:

1625 N COMMERCE PKWY
SUITE 205
WESTON, FL
ZIP 33326-216
Phone: (954) 659-8550
Fax: (954) 659-8770

The provider's authorized official is Carlos Orlando Barbosa .
The authorized official title is Owner and has the following contact phone number (954) 659-8550.

The CLIA number assigned to this NPI record is 10D0677462 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 7/22/2013.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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