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Organization

SOUTH FLORIDA PPEC SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAXWELL BERKOWITZ (ADMINISTRATOR)
(917) 515-5967
Entity
Organization

Contact information

Practice address
15383 NW 7TH AVE STE B, MIAMI, FL 33169-6205
(917) 515-5967
Mailing address
961 NE 175TH ST, MIAMI, FL 33162-2142
(917) 515-5967

Taxonomy

Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
3140N1450X
Pediatric Skilled Nursing Facility

Other

Enumeration date
08/06/2019
Last updated
08/06/2019
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