Organization
PEDIATRIC DEVELOPMENTAL HEALTH INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GASTON OFMAN MD (DIRECTOR)
(786) 925-7631
Entity
Organization
Contact information
Practice address
21110 HIGHLAND LAKES BLVD, MIAMI, FL 33179-1656
(786) 925-7641
Mailing address
21110 HIGHLAND LAKES BLVD, MIAMI, FL 33179-1656
(786) 925-7641
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
133V00000X
Registered Dietitian
—
—
163W00000X
Registered Nurse
—
—
208000000X
Pediatrics Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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