Organization
PREMIER OBGYN OF SOUTH FLORIDA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE PANDO MD (OWNER)
(305) 698-5300
Entity
Organization
Contact information
Practice address
8145 NW 155TH ST STE B, MIAMI LAKES, FL 33016-5872
(305) 698-5300
(305) 698-5302
Mailing address
8145 NW 155TH ST STE B, MIAMI LAKES, FL 33016-5872
(305) 698-5300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000165000
—
FL
Enumeration date
08/17/2017
Last updated
07/21/2022
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