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Organization
PM KIDS HOLLYWOOD
Active
Organization
PM KIDS HOLLYWOOD
Active
Other names
PM KIDZ
Organization subpart
No
Provider details
NPI number
Authorized official
NADIA WEDDERBURN FNP (PARTNER)
(786) 597-8989
Entity
Organization
Contact information
Practice address
23620 THREE NOTCH RD UNIT 101, HOLLYWOOD, MD 20636-3083
(240) 585-7128
(240) 607-6749
Mailing address
23620 THREE NOTCH RD UNIT 101, HOLLYWOOD, MD 20636-3083
(240) 585-7128
(240) 607-6749
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
—
—
208000000X
Pediatrics Physician
Primary
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
01/14/2022
Last updated
04/06/2022
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