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Organization
WEST DADE PEDIATRICS
Active
Organization
WEST DADE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIO C EGUSQUIZA MD (PRESIDENTIAL)
(305) 823-0901
Entity
Organization
Contact information
Practice address
7150 W 20TH AVE, SUITE 205, HIALEAH, FL 33016-5531
(305) 823-0901
(305) 558-5304
Mailing address
3220 SW 107TH AVE, MIAMI, FL 33165-3606
(305) 551-1195
(305) 551-1094
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268809300
—
FL
05
—
268809301
—
FL
Enumeration date
11/29/2006
Last updated
03/27/2025
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