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Individual

MEGAN BIVINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1005 N 35TH AVE, HOLLYWOOD, FL 33021-5402
(954) 265-6301
(954) 985-1434
Mailing address
1117 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4488
(954) 454-5131
(954) 241-6908

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2017020322
MO
208000000X
Pediatrics Physician
Primary
ME163856
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118910700
FL
Enumeration date
04/02/2017
Last updated
01/11/2024
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