Pediatric Medicine Associates Group Inc.

LBN: Pediatric Medicine Associates Group Inc.
Pediatric Medicine Associates Group Inc. is an health care organization with primary practice located at 10820 Nw 58Th St , Doral FL 33178-2854. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Medicine Associates Group Inc. can be contacted via phone (305) 477-7111, or through De Diego, Jorge A via phone (305) 477-7111.

Contact Information

Primary practice address
10820 Nw 58Th St Doral FL 33178-2854
Fax: (305) 594-3126
Website:
Authorized official contact:
Name: De Diego, Jorge A

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME48450 Florida

Profile Details

NPI number 1811026354
LBN Legal business name Pediatric Medicine Associates Group Inc.
DBA Doing business as
Authorized official De Diego, Jorge A
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated Nov 16th, 2022 - about 2 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 1811026354 NPPES
Florida MEDICAID 106861000
Florida MEDICAID 1811026354

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