10D0977254 CLIA NUMBER - PLANTATION PEDIATRICS PA

Laboratory Demographics

CLIA Number: 10D0977254

Facility Name: PLANTATION PEDIATRICS PA

Facility Address:
1806 N FLAMINGO RD STE 150
PEMBROKE PINES, FL
ZIP 33028
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Facility Phone Number: 954 431-0131

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1588942528

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	10D0977254
LAB Type	Physician Office
Facility Name	PLANTATION PEDIATRICS PA
Street	1806 N FLAMINGO RD STE 150
City	PEMBROKE PINES
State	FL
ZIP	33028
Phone	954 431-0131
CertificateType	4
CertificateEffectiveDate	8/23/2022
CertificateExpirationDate	8/22/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024