is a Pediatric Emergency Medicine in Fort Lauderdale, Florida. practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for is 1982861555. The last update date is .
's current location address is 1501 Nw 49th St Ste 140, Fort Lauderdale, Florida. You can contact this provider via phone number 9547146341. The mailing address for is 1501 Nw 49th St Ste 140, Fort Lauderdale, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1501 Nw 49th St Ste 140, Fort Lauderdale, Florida |
| Phone Number | 9547146341 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1982861555 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1501 Nw 49th St Ste 140 |
|---|---|
| City | Fort Lauderdale |
| State | Florida (FL) |
| Post Code | 333093723 |
| Phone Number | 9547146341 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Emergency Medicine |
|---|---|
| Taxonomy | 207Pp0204X |
| Licence No | ME 106279 |
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Definition: Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1022939998-0001 | PA | -- |
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