Organization
M & M PEDIATRICS P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA MAYORGA VASQUEZ M.D. (DOCTOR/OWNER)
(954) 392-0266
Entity
Organization
Contact information
Practice address
18503 PINES BLVD STE 212, PEMBROKE PINES, FL 33029-1405
(954) 392-0266
(954) 392-0267
Mailing address
18503 PINES BLVD STE 212, PEMBROKE PINES, FL 33029-1405
(954) 392-0266
(954) 392-0267
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME66599
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258309700
—
FL
Enumeration date
09/30/2015
Last updated
09/30/2015
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