# ADVANCED PEDIATRIC PULMONOLOGY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** n/a
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053095265
- **Authorized official:** DR. MARIE MYRTHA GREGOIRE-BOTTEX MD (MANAGING MEMBER)
- **Authorized official phone:** (914) 462-7411

## Contact information

- **Practice address:** 1971 SW 172ND AVE STE 3128, MIRAMAR, FL 33029-5592
- **Practice address phone:** (954) 299-5272
- **Practice address fax:** (855) 583-3365
- **Mailing address:** 2701 BISCAYNE BLVD APT 7102, MIAMI, FL 33137-5302
- **Mailing address phone:** (914) 462-7411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0214X | Pediatric Pulmonology Physician | — | NULL | Yes |
| 2080P0214X | Pediatric Pulmonology Physician | — | — | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/09/2023
- **Last updated:** 08/05/2024