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Organization
PEDIATRIC AND FAMILY CLINICS
Active
Organization
PEDIATRIC AND FAMILY CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGARDO B PENABAD JR. M.D. (PRESIDENT)
(305) 835-1551
Entity
Organization
Contact information
Practice address
705 E 26TH ST, HIALEAH, FL 33013-3823
(305) 835-1551
(305) 835-7414
Mailing address
705 E 26TH ST, HIALEAH, FL 33013-3823
(305) 835-1551
(305) 835-7414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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