Organization
PEDIATRIC CRITICAL CARE OF S FL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORDAN S SAYFIE (ADMINISTRATOR)
(954) 454-5131
Entity
Organization
Contact information
Practice address
3501 JOHNSON ST, PICU, HOLLYWOOD, FL 33021-5421
(954) 986-6345
(954) 888-6967
Mailing address
1117 E HALLANDALE BEACH BLVD, HALLANDALE, FL 33009
(954) 457-8771
(954) 241-6908
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME0065578
FL
Other
Enumeration date
04/03/2006
Last updated
06/29/2018
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