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PEDIATRIC MEDICINE ASSOCIATES GROUP INC. NPI 1811026354


NPI Information

NPI: 1811026354
Provider Name: PEDIATRIC MEDICINE ASSOCIATES GROUP INC.
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
10820 NW 58TH ST
DORAL, FL
ZIP 33178
Phone: (305) 477-7111
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PEDIATRIC MEDICINE ASSOCIATES GROUP INC. is a pediatrics in Doral, 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. PEDIATRIC MEDICINE ASSOCIATES GROUP INC. NPI is 1811026354. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10820 NW 58TH ST
DORAL, FL
ZIP 33178-854
Phone: (305) 477-7111
Fax: (305) 594-3126

The provider's authorized official is Jorge A De Diego .
The authorized official title is Md and has the following contact phone number (305) 477-7111.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 11/16/2022.


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
1208000000XPediatricsME48450FLORIDAYes

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
1106861000MEDICAIDFLORIDA
21811026354MEDICAIDFLORIDA

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: 4/28/2024

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