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Organization

MCH PEDIATRIC CARDIOLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PEDRO ALFARO (SENIOR VP & CFO)
(305) 666-6511
Entity
Organization

Contact information

Practice address
12989 SOUTHERN BOULEVARD PALMS WEST, MOB III SUITE 203, LOXAHATCHEE, FL 33470
(561) 383-7113
Mailing address
PO BOX 557367, MIAMI, FL 33255-7367
(786) 624-5845
(786) 624-2688

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary

Other

Enumeration date
07/26/2010
Last updated
07/26/2010
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