Organization
DHG PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN BASTO (OWNER)
(954) 817-1010
Entity
Organization
Contact information
Practice address
3850 COCONUT CREEK PKWY STE 1, COCONUT CREEK, FL 33066-1600
(954) 973-9222
Mailing address
3850 COCONUT CREEK PKWY STE 1, COCONUT CREEK, FL 33066-1600
(954) 746-7114
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
05/03/2023
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