# 4TH TRIMESTER PLACE

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

## Provider details

- **NPI number:** 1790493120
- **Authorized official:** DR. ALECIA BRYAN (DIRECTOR)
- **Authorized official phone:** (917) 328-6220

## Contact information

- **Practice address:** 3350 SW 148TH AVE STE 110, MIRAMAR, FL 33027-3237
- **Practice address phone:** (833) 437-3484
- **Mailing address:** 14359 MIRAMAR PKWY \# 139, MIRAMAR, FL 33027-4134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2022
- **Last updated:** 11/15/2022