Mary Antonette Maglalang Co, M.D.
Pediatrics in N Miami Beach, FL. Individual provider (NPI-1).
NPI number1003255191
StatusActive
Last updated in NPPESSep 30, 2020
Details
- NPI
- 1003255191
- Entity type
- Individual (NPI-1)
- Name
- Mary Antonette Maglalang Co
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 21, 2013
- Certification date
- Sep 30, 2020
- Last updated
- Sep 30, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | ME134120 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1610 Ne Miami Gardens DrN Miami Beach, FL 33179
Phone 305-940-6016 · Fax 305-940-6167
Mailing address
900 S Pine Island Rd Ste 800Plantation, FL 33324-3923
Phone 305-940-6016 · Fax 305-940-6167
Other practice locations
1611 Nw 12th Ave
Miami, FL 33136-1005
Miami, FL 33136-1005
Phone 305-585-6042
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Other Pediatrics Physician providers in N Miami Beach, FL
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All 5 Pediatrics Physician providers in N Miami Beach · All 102 providers in N Miami Beach
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