Organization
PEDIATRIC MEDICAL DAYCARE OF HOLLYWOOD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARRIE TOMS (CFO)
(954) 731-3350
Entity
Organization
Contact information
Practice address
6603 TAFT ST, HOLLYWOOD, FL 33024-4010
(954) 982-7110
Mailing address
5310 NW 33RD AVE STE 211, FORT LAUDERDALE, FL 33309-6319
(954) 731-3350
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
04/24/2023
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