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GOOD SAMARITAN PEDIATRICS NPI 1235330507


NPI Information

NPI: 1235330507
Provider Name: GOOD SAMARITAN PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
16800 NW 2ND AVE
SUITE 604
NORTH MIAMI BEACH, FL
ZIP 33169
Phone: (305) 653-0013
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GOOD SAMARITAN PEDIATRICS is a pediatrics in North Miami Beach, FL. The provider is 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. GOOD SAMARITAN PEDIATRICS NPI is 1235330507. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16800 NW 2ND AVE
SUITE 604
NORTH MIAMI BEACH, FL
ZIP 33169-549
Phone: (305) 653-0013
Fax: (305) 653-0590

The provider's authorized official is Gesner Delva .
The authorized official title is President and has the following contact phone number (305) 653-0013.

The enumeration date for this NPI number is 5/31/2007 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
1208000000XPediatricsME0064836FLORIDAYes

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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