My Way Pediatrics LLC
Pediatrics in Royal Palm Beach, FL. Organization (NPI-2).
NPI number1336722982
StatusActive
Last updated in NPPESMay 2, 2021
Details
- NPI
- 1336722982
- Entity type
- Organization (NPI-2)
- Legal business name
- My Way Pediatrics LLC
- Organization subpart
- No
- Enumeration date
- May 2, 2021
- Certification date
- May 2, 2021
- Last updated
- May 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
1410 Royal Palm Beach BlvdRoyal Palm Beach, FL 33411-1608
Phone 561-777-5246 · Fax 561-484-5752
Mailing address
4695 Manderly DrWellington, FL 33449-7406
Phone 702-756-9994
Authorized official
Juan C Collazos-Rodriguez
Pediatrician
7027569994
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