Belliaminowa Viloria Jackson in Pembroke Pines - Pediatrics
Belliaminowa Viloria Jackson - NPI 1528143732
Belliaminowa Viloria Jackson is a Pediatrics in Pembroke Pines, Florida. Belliaminowa Viloria Jackson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Belliaminowa Viloria Jackson is 1528143732. The last update date is 2013-05-30.
Belliaminowa Viloria Jackson's current location address is 17761 Sw 2nd St, Pembroke Pines, Florida. You can contact this provider via phone number 7864840088 and fax number 7864840190. The mailing address for Belliaminowa Viloria Jackson is 17761 Sw 2nd St, Pembroke Pines, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Belliaminowa Viloria Jackson |
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Address | 17761 Sw 2nd St, Pembroke Pines, Florida |
Phone Number | 7864840088 |
Fax Number | 7864840190 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1528143732 |
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Provider Enumeration Date | 2006-10-26 |
Last Updated Date | 2013-05-30 |
Provider Mailing Address Detail
Address | 17761 Sw 2nd St |
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City | Pembroke Pines |
State | Florida (FL) |
Post Code | 330293924 |
Phone Number | 7864840088 |
Fax Number | 7864840190 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 208000000X |
Licence No | ME-87240 |
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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278198600 | FL | -- |
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What is the unique provider identifier assigned to Belliaminowa Viloria Jackson?
The Belliaminowa Viloria Jackson has been issued the NPI (National Provider Identifier) 1528143732 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Belliaminowa Viloria Jackson located?
The Belliaminowa Viloria Jackson is located at 17761 Sw 2Nd St, Pembroke Pines, FL 330293924.
What is Belliaminowa Viloria Jackson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Belliaminowa Viloria Jackson's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
On what date did the Belliaminowa Viloria Jackson receive the assignment of its 1528143732 from the Centers for Medicare & Medicaid Services?
The Belliaminowa Viloria Jackson was issued its 1528143732 by the Centers for Medicare & Medicaid Services on 2006-10-26.
As of what date were the Belliaminowa Viloria Jackson's details last updated?
The information pertaining to the Belliaminowa Viloria Jackson, including its address, specialty, and other details, was most recently updated on 2013-05-30.
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