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SOUTHEAST PERINATAL ASSOCIATES INC. NPI 1972550614


NPI Information

NPI: 1972550614
Provider Name: SOUTHEAST PERINATAL ASSOCIATES, INC.
Classification: Obstetrics & Gynecology - 207VM0101X
Entity Type: Organization

Specialization: Maternal & Fetal Medicine

CLIA Number: 10D2014334

Address:
1951 SW 172ND AVE
#411
MIRAMAR, FL
ZIP 33029
Phone: (954) 967-5669
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SOUTHEAST PERINATAL ASSOCIATES, INC. is a maternal and fetal medicine obstetrics gynecology in Miramar, FL. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. SOUTHEAST PERINATAL ASSOCIATES, INC. NPI is 1972550614. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1951 SW 172ND AVE
#411
MIRAMAR, FL
ZIP 33029-593
Phone: (954) 967-5669

The provider's authorized official is Kathleen Kondas .
The authorized official title is Officer and has the following contact phone number (954) 838-2371.

The CLIA number assigned to this NPI record is 10D2014334 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 7/13/2021.


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
1207V00000XObstetrics & GynecologyNo
2207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1255648105MEDICAIDFLORIDA

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

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