Organization
CARMEN PEDIATRIC CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MYRA A. WEISS BOGACZ R.N. (PRESIDENT)
(954) 731-4474
Entity
Organization
Contact information
Practice address
2589 NORTH STATE ROAD 7, LAUDERHILL, FL 33313
(954) 731-4474
Mailing address
2589 NORTH STATE ROAD 7, LAUDERHILL, FL 33313
(954) 731-4474
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
60080978
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240022700
—
FL
05
—
830092500
—
FL
Enumeration date
11/14/2006
Last updated
08/23/2010
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