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Organization
FKPPEC4, INC.
Active
Organization
FKPPEC4, INC.
Active
Other names
FIRST KID'S PPEC
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DAVID CARVAJAL ESQ (CHIEF COMPLIANCE OFFICER)
(305) 796-5103
Entity
Organization
Contact information
Practice address
7202 W COLONIAL DR, ORLANDO, FL 32818-6743
(866) 635-7732
Mailing address
6515 TAFT ST, HOLLYWOOD, FL 33024-4008
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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