Childrens Medical Association PA
Pediatrics in Coral Springs, FL. Organization (NPI-2).
NPI number1164095030
StatusActive
Last updated in NPPESJul 20, 2021
Details
- NPI
- 1164095030
- Entity type
- Organization (NPI-2)
- Legal business name
- Childrens Medical Association PA
- Organization subpart
- Yes
- Enumeration date
- Jul 20, 2021
- Certification date
- Jul 20, 2021
- Last updated
- Jul 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
5697 Coral Ridge DrCoral Springs, FL 33076-3160
Phone 954-580-4800 · Fax 954-510-4800
Mailing address
8430 W Broward Blvd Ste 300Plantation, FL 33324-2700
Phone 954-473-1011 · Fax 954-473-8588
Authorized official
Lakesha Shah
Office Manager
9547220300
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