Organization
PEDIATRIC CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMANDO GONZALEZ M.D. (OWNER/AO)
(561) 432-1822
Entity
Organization
Contact information
Practice address
2135 S CONGRESS AVE STE 2C, PALM SPRINGS, FL 33406-7611
(561) 432-1822
(561) 432-0108
Mailing address
2135 S CONGRESS AVE STE 2C, PALM SPRINGS, FL 33406-7611
(561) 432-1822
(561) 432-0108
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
ME0063404
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003999000
—
FL
05
—
114618000
—
FL
05
—
379462800
—
FL
Enumeration date
09/12/2012
Last updated
07/08/2024
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