West Hialeah Pediatric Associates, Pa

LBN: West Hialeah Pediatric Associates, Pa
West Hialeah Pediatric Associates, Pa is an health care organization with primary practice located at 344 W 65Th St Suite 201, Hialeah FL 33012-6719. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. West Hialeah Pediatric Associates, Pa can be contacted via phone (305) 558-3930, or through Bolumen, Eduardo Fausto via phone (305) 558-3930.

Contact Information

Primary practice address
344 W 65Th St Suite 201 Hialeah FL 33012-6719
Fax: (305) 558-3931
Website:
Authorized official contact:
Name: Bolumen, Eduardo Fausto Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0065418 Florida

Profile Details

NPI number 1528160306
LBN Legal business name West Hialeah Pediatric Associates, Pa
DBA Doing business as
Authorized official Bolumen, Eduardo Fausto Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2006
Last updated Nov 6th, 2012 - about 13 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 1528160306 NPPES
Florida MEDICAID 374982700

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