Organization
PEDIATRIC CARE CENTER NO2 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARMANDO GONZALEZ M.D (PRESIDENT/AO)
(561) 641-0811
Entity
Organization
Contact information
Practice address
2135 S CONGRESS AVE STE 2B, PALM SPRINGS, FL 33406-7611
(561) 641-0811
(561) 641-0813
Mailing address
2135 S CONGRESS AVE STE 2B, PALM SPRINGS, FL 33406-7611
(561) 641-0811
(561) 641-0813
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
ME688588
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003999000
—
FL
05
—
114285600
—
FL
05
—
251597100
—
FL
Enumeration date
09/11/2012
Last updated
07/08/2024
Update your record
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