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Organization
FKPPEC1, INC.
Active
Organization
FKPPEC1, 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
5547 W OAKLAND PARK BLVD, LAUDERHILL, FL 33313-1411
(754) 223-2945
Mailing address
5547 W OAKLAND PARK BLVD, LAUDERHILL, FL 33313-1411
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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