Organization
HOLLYWOOD PEDIATRICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF WIEDER (OWNER)
(954) 963-5437
Entity
Organization
Contact information
Practice address
4430 SHERIDAN ST, SUITE B, HOLLYWOOD, FL 33021-3546
(954) 963-5437
Mailing address
4430 SHERIDAN ST, SUITE B, HOLLYWOOD, FL 33021-3546
(954) 963-5437
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262004900
—
FL
Enumeration date
05/16/2007
Last updated
04/22/2025
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