Organization
WILLOW PEDIATRIC SPECIAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDY PEREZ (PRESIDENT)
(305) 244-4133
Entity
Organization
Contact information
Practice address
4343 W SUNRISE BLVD, PLANTATION, FL 33313-6749
(305) 244-4133
Mailing address
4343 W SUNRISE BLVD, PLANTATION, FL 33313-6749
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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