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Organization
PEDI PEC
Active
Organization
PEDI PEC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRISELDA MILLER (PRESIDENT)
(305) 623-1222
Entity
Organization
Contact information
Practice address
15839 NW 2ND AVE, MIAMI, FL 33169-6711
(305) 948-5683
Mailing address
15839 NW 2ND AVE, MIAMI, FL 33169-6711
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/10/2007
Last updated
09/11/2025
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