Organization
ONE SOURCE PEDIATRICS P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS ORLANDO BARBOSA M.D (OWNER)
(954) 659-8550
Entity
Organization
Contact information
Practice address
1625 N COMMERCE PKWY, SUITE 205, WESTON, FL 33326-3216
(954) 659-8550
(954) 659-8770
Mailing address
1625 N COMMERCE PKWY, SUITE 205, WESTON, FL 33326-3216
(954) 659-8550
(954) 659-8770
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME83660
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048013401
—
FL
05
—
262872400
—
FL
05
—
266448800
—
FL
05
—
271158300
—
FL
05
—
271831600
—
FL
Enumeration date
07/15/2006
Last updated
07/22/2013
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