Organization
MARGATE PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIYA ASAD M.D. (PRESIDENT)
(954) 975-4611
Entity
Organization
Contact information
Practice address
5100 WEST COPANS ROAD, SUITE 800, MARGATE, FL 33063
(954) 975-4611
(954) 975-4079
Mailing address
5100 WEST COPANS ROAD, SUITE 800, MARGATE, FL 33063
(954) 975-4611
(954) 975-4079
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME83289
FL
208000000X
Pediatrics Physician
Primary
ME83289
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417947854
PERSONAL NPI #
FL
05
—
265466100
—
FL
01
—
ME83289
STATE MEDICAL LICENSE
FL
Enumeration date
06/08/2007
Last updated
04/05/2013
Update your record
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