Personalized Pediatrics Llc

NPI 1215329313 - Pediatrics - 208000000X

NPI Details
NPI 1215329313
Enumeration Date 02/26/2015
Last Updated 02/26/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name EDNA L EDNA
Position OWNER/FOUNDER
Phone (954) 632-2791
Fax (954) 752-7845
Practice Location
12621 NW 8TH CT
CORAL SPRINGS FL, 33071-4425, US
Phone (954) 632-2791
Fax (954) 752-7845
Business Location
1440 CORAL RIDGE DR # 121
CORAL SPRINGS FL, 33071-5433, US
Phone (954) 632-2791
Fax (954) 752-7845
Toxanomy
Taxonomy Code 208000000X
License State Florida
License Number ME80694
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According to our database, Personalized Pediatrics Llc NPI is 1215329313, taxonomy code is 208000000X and license number is ME80694, license state is located at Florida. Personalized Pediatrics Llc physically located at 12621 Nw 8th Ct, Coral Springs FL, 33071-4425. NPI Number 1033115704 has the healthcare provider type.

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1215329313 NPI number is provided on an as is basis without warranty of any kind. 1215329313 is maintained by the National Plan & Provider Enumeration System. The contents of Personalized Pediatrics Llc are for informational purposes only.