# PEDIATRIC EMERGENCY NETWORK PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467469072
- **Authorized official:** FRANCISCO MEDINA MEJIA MD (DIRECTOR)
- **Authorized official phone:** (786) 243-8000

## Contact information

- **Practice address:** 975 BAPTIST WAY, HOMESTEAD, FL 33033-7600
- **Practice address phone:** (954) 583-9995
- **Practice address fax:** (954) 321-3832
- **Mailing address:** PO BOX 198483, ATLANTA, GA 30384-8483
- **Mailing address phone:** (954) 583-9995
- **Mailing address fax:** (954) 321-3832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | ME53534 | FL | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 07/09/2019