Organization
PEDIATRIX EMERGENT AND CRITICAL CARE SERVICES, L.L.C.
Active
Organization
PEDIATRIX EMERGENT AND CRITICAL CARE SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY LACAZE (AUTHORIZED SIGNATORY)
(888) 822-2855
Entity
Organization
Contact information
Practice address
3001 E PRESIDENT GEORGE BUSH HWY, SUITE 250, RICHARDSON, TX 75082-3542
(800) 243-3839
(954) 858-0434
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
(954) 858-0434
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1812692
—
LA
Enumeration date
07/23/2009
Last updated
04/03/2014
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