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Organization
UNIVERSITY PEDIATRICS CENTER, INC
Active
Organization
UNIVERSITY PEDIATRICS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACINTHA A BRILLANTE MD (PRESIDENT)
(954) 966-6000
Entity
Organization
Contact information
Practice address
2301 N UNIVERSITY DR, SUITE 107, PEMBROKE PINES, FL 33024-3617
(954) 966-6000
(954) 966-3473
Mailing address
2301 N UNIVERSITY DR, SUITE 107, PEMBROKE PINES, FL 33024-3617
(954) 966-6000
(954) 966-3473
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME48959
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048771600
—
FL
01
—
D21188
UPIN
FL
Enumeration date
03/13/2013
Last updated
04/05/2013
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