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INGRAM PEDIATRICS P.A. NPI 1265581383


NPI Information

NPI: 1265581383
Provider Name: INGRAM PEDIATRICS, P.A.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D1055842

Address:
4101 S HOSPITAL DR
SUITE 12
PLANTATION, FL
ZIP 33317
Phone: (954) 321-1591
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INGRAM PEDIATRICS, P.A. is a primary care clinic center in Plantation, FL. INGRAM PEDIATRICS, P.A. NPI is 1265581383. The provider is registered as an organization entity type.

The provider's business location address is:

4101 S HOSPITAL DR
SUITE 12
PLANTATION, FL
ZIP 33317-857
Phone: (954) 321-1591
Fax: (954) 321-1592

The provider's authorized official is Deborah E Ingram .
The authorized official title is Owner and has the following contact phone number (954) 321-1591.

The CLIA number assigned to this NPI record is 10D1055842 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareME79116FLORIDAYes

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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