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A.A.G.A. MEDICAL SERVICE INC. NPI 1194792945


NPI Information

NPI: 1194792945
Provider Name: A.A.G.A. MEDICAL SERVICE INC.
Classification: Pediatrics - 2080P0210X
Entity Type: Organization

Specialization: Pediatric Nephrology

CLIA Number: 10D1080046

Address:
4330 W BROWARD BLVD
SUITE P
PLANTATION, FL
ZIP 33317
Phone: (954) 587-0631
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A.A.G.A. MEDICAL SERVICE INC. is a pediatric nephrology pediatrics in Plantation, FL. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. A.A.G.A. MEDICAL SERVICE INC. NPI is 1194792945. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4330 W BROWARD BLVD
SUITE P
PLANTATION, FL
ZIP 33317-775
Phone: (954) 587-0631
Fax: (954) 587-0632

The provider's authorized official is Patricia P. Beharrie .
The authorized official title is Office Manager and has the following contact phone number (954) 587-0631.

The CLIA number assigned to this NPI record is 10D1080046 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2006 and was last updated on 11/13/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0210XPediatricsPediatric NephrologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1252076100MEDICAIDFLORIDA

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: 11/14/2023

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