Organization
MAMIPEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SULTANA ALKON MD (OWNER)
(602) 363-6312
Entity
Organization
Contact information
Practice address
2020 NE 163RD ST STE 105, NORTH MIAMI BEACH, FL 33162-4927
(305) 790-9058
Mailing address
21659 MARIGOT DR, BOCA RATON, FL 33428-4825
(602) 363-6312
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 126460
FL
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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