PEDIATRIC CARE CENTER INC NPI 1396095998

NPI Information

PEDIATRIC CARE CENTER, INC is a primary care clinic center in Palm Springs, FL. PEDIATRIC CARE CENTER, INC NPI is 1396095998. The provider is registered as an organization entity type.

The provider's business location address is:

2135 S. CONGRESS AVENUE. SUITE 2C-D
PALM SPRINGS, FL
ZIP 33406-611
Phone: (561) 432-1822
Fax: (561) 432-0108

The provider's authorized official is Hector J Diaz De Villegas .
The authorized official title is Owner and has the following contact phone number (561) 432-1822.

The CLIA number assigned to this NPI record is 10D0964322 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2012 and was last updated on 9/12/2012.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.