Phoenix Pediatrics Of Broward Llc

LBN: Phoenix Pediatrics Of Broward Llc
Phoenix Pediatrics Of Broward Llc is an health care organization with primary practice located at 1600 S Andrews Ave Phoenix Pediatrics, Ft Lauderdale FL 33316-2510. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Phoenix Pediatrics Of Broward Llc can be contacted via phone (954) 355-4400, or through Vaughn, Karen Marie via phone (973) 251-1132.

Contact Information

Primary practice address
1600 S Andrews Ave Phoenix Pediatrics Ft Lauderdale FL 33316-2510
Phone: (954) 355-4400
Fax: (919) 425-0478
Website:
Map and Directions
Authorized official contact:
Name: Vaughn, Karen Marie
Phone: (973) 251-1132

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME39895 Florida

Profile Details

NPI number 1619970498
LBN Legal business name Phoenix Pediatrics Of Broward Llc
DBA Doing business as
Authorized official Vaughn, Karen Marie
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2005
Last updated Sep 28th, 2023 - about last year

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 1619970498 NPPES
Florida MEDICAID 269098500

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