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Organization

MY KIDS PEDRIATICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BELLIAMINOWA JACKSON M.D. (PRESIDENT)
(954) 437-0525
Entity
Organization

Contact information

Practice address
17900 NW 5TH ST, SUITE204, PEMBROKE PINES, FL 33029-2808
(954) 437-0525
(954) 437-0526
Mailing address
17900 NW 5TH ST, SUITE204, PEMBROKE PINES, FL 33029-2808
(954) 437-0525
(954) 437-0526

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
02/11/2009
Last updated
02/11/2009
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