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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