Organization
FKPPEC1, INC.
Active
Other names
First Kid's PPEC
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DAVID CARVAJAL ESQ (CHIEF COMPLIANCE OFFICER)
(305) 796-5103
Entity
Organization
Contact information
Practice address
5547 W OAKLAND PARK BLVD, LAUDERHILL, FL 33313-1411
(754) 223-2945
Mailing address
5547 W OAKLAND PARK BLVD, LAUDERHILL, FL 33313-1411
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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