Organization
MIAMI LAKES PEDIATRICS PLLC
Active
Parent organization
MIAMI LAKES PEDIATRICS PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIAMI LAKES PEDIATRICS PLLC
Authorized official
CRISTINA ALFONSO (PRACTICE ADMINISTRATOR)
(305) 823-7768
Entity
Organization
Contact information
Practice address
12957 PALMS WEST DR STE 101, LOXAHATCHEE, FL 33470-4932
(561) 795-5979
(561) 795-9460
Mailing address
14400 NW 77TH CT STE 102, MIAMI LAKES, FL 33016-1590
(305) 823-7768
(305) 823-2211
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/09/2021
Last updated
01/09/2021
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