Dr. Gisele Mardy Pediatric Center, Pa

LBN: Dr. Gisele Mardy Pediatric Center, Pa
Dr. Gisele Mardy Pediatric Center, Pa is an health care organization with primary practice located at 9299 Sw 152Nd St Ste 207 , Palmetto Bay FL 33157-1776. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Dr. Gisele Mardy Pediatric Center, Pa can be contacted via phone (305) 253-6654, or through Mardy, Gisele Victor via phone (305) 253-6654.

Contact Information

Primary practice address
9299 Sw 152Nd St Ste 207 Palmetto Bay FL 33157-1776
Phone: (305) 253-6654
Fax: (305) 235-3501
Website:
Map and Directions
Authorized official contact:
Name: Mardy, Gisele Victor Doctor of Medicine (MD)
Phone: (305) 253-6654

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0070216 Florida

Profile Details

NPI number 1689069080
LBN Legal business name Dr. Gisele Mardy Pediatric Center, Pa
DBA Doing business as
Authorized official Mardy, Gisele Victor Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2015
Last updated Apr 2nd, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689069080 NPPES
Florida MEDICAID 250371900

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