Organization
PEDI PEC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRISELDA MILLER (PRESIDENT)
(305) 948-5683
Entity
Organization
Contact information
Practice address
15839 NW 2ND AVE, MIAMI, FL 33169-6711
(305) 648-5683
Mailing address
15839 NW 2ND AVE, MIAMI, FL 33169-6711
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
60080975
FL
Other
Enumeration date
05/02/2006
Last updated
08/22/2020
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