Organization
INGRAM PEDIATRICS, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH E INGRAM MD (PHYSICIAN/OWNER)
(954) 321-1591
Entity
Organization
Contact information
Practice address
4101 S HOSPITAL DR, SUITE 12, PLANTATION, FL 33317-2857
(954) 321-1591
(954) 321-1592
Mailing address
4100 SOUTH HOSPITAL DRIVE, SUITE 302, PLANTATION, FL 33317-2838
(954) 321-1591
(954) 321-1592
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME79116
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261906700
—
FL
Enumeration date
01/09/2007
Last updated
06/16/2022
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