Organization
CLYDE PARK PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLOR BORRERO M.D. (OWNER)
(616) 808-3265
Entity
Organization
Contact information
Practice address
3637 CLYDE PARK AVE SW STE 4, WYOMING, MI 49509
(616) 808-3265
(616) 726-7019
Mailing address
3637 CLYDE PARK AVE SW STE 4, WYOMING, MI 49509
(616) 808-3265
(616) 726-7019
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301066741
MI
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
07/13/2006
Last updated
06/10/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up