Organization
TOTAL PEDIATRIC CARE
Active
Other names
Total Pediatric Care
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTA FLOOD MA (OFFICE MANAGER)
(954) 351-0202
Entity
Organization
Contact information
Practice address
100 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33334-1687
(954) 351-0202
(954) 351-0201
Mailing address
100 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33334-1687
(954) 351-0202
(954) 351-0201
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0060159
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370024101
—
FL
Enumeration date
09/25/2014
Last updated
09/25/2014
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