Organization
PEDIATRICS ALLIANCE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN TAKAS MD (PRESIDENT)
(305) 295-6700
Entity
Organization
Contact information
Practice address
1111 12TH ST, SUITE 311, KEY WEST, FL 33040-4088
(305) 295-6700
(305) 295-6600
Mailing address
1111 12TH ST, SUITE 311, KEY WEST, FL 33040-4088
(305) 295-6700
(305) 295-6600
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273712400
—
FL
Enumeration date
03/12/2013
Last updated
03/12/2013
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