Organization
EAST/WEST PEDIATRICS, P.A.
Active
Parent organization
EAST/WEST PEDIATRICS, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST/WEST PEDIATRICS, P.A.
Authorized official
MRS. RAGINI DHARMAPPA (OFFICE MANAGER)
(954) 452-7576
Entity
Organization
Contact information
Practice address
106 NW 100TH AVE, PLANTATION, FL 33324-7008
(954) 452-7576
(954) 452-8248
Mailing address
106 NW 100TH AVE, PLANTATION, FL 33324-7008
(954) 452-7576
(954) 452-8248
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME0037089
FL
208000000X
Pediatrics Physician
Primary
ME0037416
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME0037089
STATE LICENSE
FL
01
—
ME0037416
ST LICENSE
FL
Enumeration date
04/18/2006
Last updated
05/15/2008
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