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Organization

CSI-PEDIATRIC SERVICES, LLC.

Active
Parent organization
PEDIATRIC HOLDINGS, LLC
Other names
CSI Special Care, Spark Pediatrics
Organization subpart
Yes

Provider details

NPI number
Legal business name
PEDIATRIC HOLDINGS, LLC
Authorized official
DONNA LODATO RN (CEO)
(786) 522-9600
Entity
Organization

Contact information

Practice address
1720 S CONGRESS AVE, PALM SPRINGS, FL 33461-2140
(305) 967-0854
Mailing address
15050 NW 79TH CT STE 201, MIAMI LAKES, FL 33016-5810
(786) 522-9600

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024133000
FL
Enumeration date
07/31/2015
Last updated
07/13/2022
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