Organization
PEDI PEC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRISELDA MILLER (PRESIDENT)
(305) 623-1222
Entity
Organization
Contact information
Practice address
6738 W SUNRISE BLVD, PLANTATION, FL 33313-6070
(954) 587-1210
Mailing address
1450 NW 159TH ST, MIAMI, FL 33169-5727
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
60080981
FL
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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