Pediatric Md Services, Llc

LBN: Pediatric Md Services, Llc
Pediatric Md Services, Llc is an health care organization with primary practice located at 1325 S Congress Ave Suite 109, Boynton Beach FL 33426-5876. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Md Services, Llc can be contacted via phone (561) 736-2510, or through Pavlou, Suzanne via phone (561) 736-2510.

Contact Information

Primary practice address
1325 S Congress Ave Suite 109 Boynton Beach FL 33426-5876
Phone: (561) 736-2510
Fax: (561) 503-4873
Website:
Map and Directions
Authorized official contact:
Name: Pavlou, Suzanne Doctor of Medicine (MD)
Phone: (561) 736-2510

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME90011 Florida

Profile Details

NPI number 1336328046
LBN Legal business name Pediatric Md Services, Llc
DBA Doing business as
Authorized official Pavlou, Suzanne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2007
Last updated Sep 21st, 2008 - about 16 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 1336328046 NPPES
Florida MEDICAID 270305000

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