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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
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