Organization
SOUTH FLORIDA PEDIATRIC MULTI SPECIALTY
Active
Other names
SFL PEDIATRIC MULTI SPECIALTY
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERTO TANO MD (MEDICAL DIRECTOR)
(305) 661-1515
Entity
Organization
Contact information
Practice address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 661-1515
Mailing address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372660600
—
FL
Enumeration date
12/21/2017
Last updated
12/21/2017
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