Organization
PEDIATRIC CARE FOR KIDS, PA
Active
Other names
Goodside Health of Florida, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WHITE (MANAGER)
(214) 729-5600
Entity
Organization
Contact information
Practice address
2627 NE 203RD ST STE 110, AVENTURA, FL 33180-1945
(281) 203-5006
Mailing address
1701 RIVER RUN STE 302, FORT WORTH, TX 76107-6547
(214) 729-5600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/22/2019
Last updated
12/08/2023
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