Organization
PLANTATION PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN VIRGINIA SANCHEZ (OFFICE MANAGER)
(954) 431-0131
Entity
Organization
Contact information
Practice address
817 S UNIVERSITY DR, STE 101, PLANTATION, FL 33324
(954) 474-5437
(954) 472-3783
Mailing address
1851 NW 125TH AVE, SUITE #150, PEMBROKE PINES, FL 33028-2597
(954) 431-0131
(954) 431-3233
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/27/2006
Last updated
08/22/2020
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